Melinda B Moore (NPI# 1508003849, PAC ID# 2668528902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1508003849 |
PAC ID by PECOS | 2668528902 |
Professional Enrollment ID | I20090928000737 |
Full Name | Melinda B Moore |
Address |
807 S Division St Carterville IL 62918-1528 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
Address | Phone | Organization |
---|---|---|
807 S Division St, Carterville, IL 62918-1528 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 100% |
Street Address |
807 S DIVISION ST |
City | CARTERVILLE |
State | IL |
Zip | 62918-1528 |
Name | Specialty | Organization | Address |
---|---|---|---|
Babu Prasad | Interventional Pain Management | Pain Management Center Sc | 108 N Division St, Carterville, IL 62918-1245 |
Cassandra Marie Vestal | Nurse Practitioner | Pain Management Center Sc | 108 N Division St, Carterville, IL 62918-1245 |
Matin Nekzad | Family Medicine | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Christina Trapp | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Sara Hoyle | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Patricia A Boudet | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Ethan Weshinskey | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Gerald R Cameron | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Kathryn M Mcmurphy | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Cheryl A Ellis | Nurse Practitioner | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Find all physicians in zip 62918 |
City | CARTERVILLE |
Zip Code | 62918 |
Specialty | PODIATRY |
City + Specialty | CARTERVILLE + PODIATRY |
Please comment or provide details below to improve the information on Melinda B Moore.
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.