Richard L Moore, CRNA | |
2700 W Norfolk Ave, Norfolk, NE 68701-4438 | |
(402) 371-4880 | |
Not Available |
Full Name | Richard L Moore |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2700 W Norfolk Ave, Norfolk, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497709711 | NPI | - | NPPES |
36436 | Other | NE | BCBS |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 100086 (Nebraska) | Primary |
Entity Name | Faith Regional Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275074577 PECOS PAC ID: 5193786168 Enrollment ID: O20170510000392 |
Mailing Address | Practice Location Address |
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Richard L Moore, CRNA Po Box 5126, Sioux Falls, SD 57117-5126 Ph: (605) 335-1952 | Richard L Moore, CRNA 2700 W Norfolk Ave, Norfolk, NE 68701-4438 Ph: (402) 371-4880 |
William Harold Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3400 W Norfolk Ave, Norfolk, NE 68701 Phone: 308-382-7744 Fax: 308-382-7744 | |
Dr. Tyler Thomas Palmer, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-371-4880 | |
Britain Yvonne Moffet, DNAP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2700 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-371-4880 | |
Debra Lynn Topp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1507 Cedar Ridge Rd, Norfolk, NE 68701 Phone: 402-649-0393 Fax: 402-371-1664 | |
Robert L Talsma, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2700 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-371-3901 | |
Charles E Rowse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-371-4880 | |
Rachel L Tietz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-371-4880 Fax: 402-644-7647 |