Jennifer S Moore (NPI# 1740691781, PAC ID# 0446476808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740691781 |
| PAC ID by PECOS | 0446476808 |
| Professional Enrollment ID | I20140722000878 |
| Full Name | Jennifer S Moore |
| Organization Legal Name | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| Address |
79 Sparrow St Prestonsburg KY 41653-1336 |
| Phone Number | 6068869178 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153406301 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180005 | HIGHLANDS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 147 N Highland Ave, Prestonsburg, KY 41653-7748 | 6068862378 | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| 79 Sparrow St, Prestonsburg, KY 41653-1336 | 6068869178 | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| Organization Legal Name | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Danielle Mehicic | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 599 Rogersville Rd, Radcliff, KY 40160-9321 |
| Deborah Ann Zinsius | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
| Calli Morgan Cox | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 717 N Lincoln Blvd, Hodgenville, KY 42748-1622 |
| Meng Zhang | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 50 Shepherd Ln, Bedford, KY 40006-7845 |
| Gina Ann Green | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1120 Cristland Rd, Louisville, KY 40214-4150 |
| Angelique Marie Leist | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1877 Farnsley Rd, Louisville, KY 40216-4701 |
| Kambra J Long | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1614 W Parrish Ave, Owensboro, KY 42301-3535 |
| Kristin J Bowman | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 260 S Mayo Trl, Pikeville, KY 41501-1520 |
| Rohan Alexander | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 4700 Quinn Dr, Louisville, KY 40216-2943 |
| Yvonne T Pfanenstiel | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 114 E Mcmurtry Ave, Hartford, KY 42347-1614 |
| Street Address |
79 SPARROW ST |
| City | PRESTONSBURG |
| State | KY |
| Zip | 41653-1336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candice Denise Stevens | Nurse Practitioner | Kirti K Jain, Md Psc | 4958 Ky Hwy 321, Prestonburg, KY 41653 |
| Lauren M Harwood | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 5000 Kentucky, Suite 321, Prestonsburg, KY 41653 |
| Anshu K Jain | Radiation Oncology | Kirti K Jain, Md Psc | 4958 Ky Hwy 321, Prestonburg, KY 41653 |
| Venu Madhav Konala | Hematology/oncology | Kirti K Jain, Md Psc | 4958 Ky Hwy 321, Prestonburg, KY 41653 |
| Ray Slone Jr. | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 5000 Kentucky, Suite 321, Prestonsburg, KY 41653 |
| Kirti Jain | Hematology/oncology | Kirti K Jain, Md Psc | 4958 Ky Hwy 321, Prestonburg, KY 41653 |
| Chad O Patterson | General Surgery | Consolidated Health Systems Inc | 400 University Dr, Prestonsburg, KY 41653-1080 |
| Matthew Turner | Internal Medicine | Hometown Family Care Pllc | 400 University Dr, Suite 101a, Prestonsburg, KY 41653-1080 |
| Christopher Bailey | Family Medicine | Hometown Family Care Pllc | 400 University Dr, Suite 101a, Prestonsburg, KY 41653-1080 |
| Kendra M Burgess | Physician Assistant | Hometown Family Care Pllc | 400 University Dr, Suite 101a, Prestonsburg, KY 41653-1080 |
| Find all physicians in zip 41653 | |||
| City | PRESTONSBURG |
| Zip Code | 41653 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PRESTONSBURG + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.