Rodrick Wayne Moore Sr, CRNA in Los Angeles, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Rodrick Wayne Moore Sr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice G And G Anesthesia Llc and his current practice location is 4060 Whittier Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 268-5514.

Rodrick Wayne Moore Sr is licensed to practice in California (license number 95001146) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053970103.

Contact Information

	Rodrick Wayne Moore Sr, CRNA
	4060 Whittier Blvd, Los Angeles, CA 90023-2526
	(323) 268-5514
	Not Available

Map and Direction

Provider's Profile

Full Name	Rodrick Wayne Moore Sr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	4060 Whittier Blvd, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Rodrick Wayne Moore Sr graduated from nursing school in 2017

NPI Data:

NPI Number: 1053970103
Provider Enumeration Date: 06/12/2019
Last Update Date: 06/12/2019

Medicare PECOS Information:

PECOS PAC ID: 9739411075
Enrollment ID: I20191106000101

Medical Identifiers

Medical identifiers for Rodrick Wayne Moore Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053970103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95001146 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Barstow Community Hospital	Barstow, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
G And G Anesthesia Llc	4981912607	70

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rodrick Wayne Moore Sr allows following entities to bill medicare on his behalf.

Entity Name	G & G Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20200512001499

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rodrick Wayne Moore Sr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Rodrick Wayne Moore Sr, CRNA 1605 Mendocino Way, Perris, CA 92571-3732 Ph: () -	Rodrick Wayne Moore Sr, CRNA 4060 Whittier Blvd, Los Angeles, CA 90023-2526 Ph: (323) 268-5514

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Los Angeles, CA

Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Tahira Ayanna Smith-aifesehi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2622

Rodrick Wayne Moore Sr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Los Angeles, CA