Michael D Moore (NPI# 1508327537, PAC ID# 7719212703) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508327537 |
| PAC ID by PECOS | 7719212703 |
| Professional Enrollment ID | I20190712002046 |
| Full Name | Michael D Moore |
| Organization Legal Name | FAMILY PRACTICE CLINIC OF BOONEVILLE, INC. |
| Address |
200 Mulberry St Suite A Booneville KY 41314-7505 |
| Phone Number | 6065936023 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406764612 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Mulberry St, Suite A, Booneville, KY 41314-7505 | 6065936023 | FAMILY PRACTICE CLINIC OF BOONEVILLE, INC. |
| Organization Legal Name | FAMILY PRACTICE CLINIC OF BOONEVILLE, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne Combs | Nurse Practitioner | Family Practice Clinic of Booneville, Inc. | 200 Mulberry St, Suite A, Booneville, KY 41314-7505 |
| Street Address |
200 MULBERRY ST SUITE A |
| City | BOONEVILLE |
| State | KY |
| Zip | 41314-7505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne Combs | Nurse Practitioner | Family Practice Clinic of Booneville, Inc. | 200 Mulberry St, Suite A, Booneville, KY 41314-7505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara J Caldwell | Nurse Practitioner | Mountain Comprehensive Health Corporation | 826 Ky Hwy 11 N, Booneville, KY 41314 |
| Sharon F Ward | Nurse Practitioner | Mountain Comprehensive Health Corporation | 826 Ky Hwy 11 N, Booneville, KY 41314 |
| Brittany Bobrowski | Family Medicine | Mountain Comprehensive Health Corporation | 826 Ky Hwy 11 N, Booneville, KY 41314 |
| Anna E Johnson | Internal Medicine | Mountain Comprehensive Health Corporation | 826 Ky Hwy 11 N, Booneville, KY 41314 |
| Natasha Nicole Gay | Optometry | Mountain Comprehensive Health Corporation | 826 Ky Hwy 11 N, Booneville, KY 41314 |
| Darlene Wilson | Nurse Practitioner | 453 Old Ky, Suite 11, Booneville, KY 41314-9171 |
| City | BOONEVILLE |
| Zip Code | 41314 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOONEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael D 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.