Dr Marla J Moore, MD - Pediatrics in St Cloud, MN

Dr Marla J Moore, MD is a Pediatrics - Pediatric Critical Care Medicine physician based in St Cloud, Minnesota. Dr Marla J Moore is licensed to practice in Minnesota (license number 105796) and her current practice location is 1200 Sixth Ave N, Centracare Clinic, St Cloud, Minnesota. She can be reached at her office (for appointments etc.) via phone at (320) 252-5731.

NPI number for Dr Marla J Moore is 1376507608 and her current mailing address is 1200 Sixth Ave N, Centracare Clinic, St Cloud, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376507608.

Contact Information

Dr Marla J Moore, MD
1200 Sixth Ave N, Centracare Clinic,
St Cloud, MN 56303-2735
(320) 252-5731
(719) 447-8987



Physician's Profile

Full NameDr Marla J Moore
GenderFemale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location1200 Sixth Ave N, St Cloud, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376507608
  • Provider Enumeration Date: 04/13/2006
  • Last Update Date: 10/27/2011

Medical Identifiers

Medical identifiers for Dr Marla J Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376507608NPI-NPPES
32804377MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 36444 (Colorado)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine CO36444 (Colorado)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine MD11545 (Hawaii)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 105796 (Minnesota)Primary

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. Dr Marla J Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Marla J Moore, MD
1200 Sixth Ave N, Centracare Clinic,
St Cloud, MN 56303-2735

Ph: (320) 252-5731
Dr Marla J Moore, MD
1200 Sixth Ave N, Centracare Clinic,
St Cloud, MN 56303-2735

Ph: (320) 252-5731

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Pediatrics Doctors in St Cloud, MN

Jennifer J Rogan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303
Phone: 320-654-3630    
Oluade A. Ajayi, MBBS
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303
Phone: 320-252-5731    
Tracey B Thompson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303
Phone: 320-240-2832    
Logan Andrew Newman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-656-7115
Edward B Martin - Chafee, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-240-2118
Kelly B Fandel, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, MN 56303
Phone: 320-654-3630    

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