Shannon Moore, - Pediatrics in Erie, PA

Shannon Moore, is a Pediatrics physician based in Erie, Pennsylvania. Shannon Moore is licensed to practice in Ohio (license number 208000000X) and her current practice location is 300 State St, Suite 301, Erie, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (814) 877-7907.

NPI number for Shannon Moore is 1174822084 and her current mailing address is 11279 Perry Hwy, Suite 450, Wexford, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174822084.

Contact Information

Shannon Moore,
300 State St, Suite 301,
Erie, PA 16507-1427
(814) 877-7907
Not Available



Physician's Profile

Full NameShannon Moore
GenderFemale
SpecialityPediatrics
Location300 State St, Erie, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174822084
  • Provider Enumeration Date: 03/17/2011
  • Last Update Date: 03/25/2021

Medical Identifiers

Medical identifiers for Shannon Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174822084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 208000000X (Ohio)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. Shannon 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
Shannon Moore,
11279 Perry Hwy, Suite 450,
Wexford, PA 15090-9381

Ph: () -
Shannon Moore,
300 State St, Suite 301,
Erie, PA 16507-1427

Ph: (814) 877-7907

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Pediatrics Doctors in Erie, PA

Joseph C Barber, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3580 Peach St, Erie, PA 16508
Phone: 814-868-9633    Fax: 814-866-1436
Cynthia Weibel,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3580 Peach St, Suite 100, Erie, PA 16508
Phone: 814-868-9633    
Dr. Lynne M Birkmeyer, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1202 State St, Erie, PA 16501
Phone: 814-454-4530    
Michael Balsan,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 201 State St, Nicu Department, Erie, PA 16550
Phone: 814-877-6000    
Maria Irma Santos Leonard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4022 Zuck Rd, Erie, PA 16506
Phone: 814-877-5424    Fax: 814-877-5423
Sant Ram, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2123 W 8th St, Erie, PA 16505
Phone: 814-453-5056    

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