Mr Norman Blake Moore Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS

Mr Norman Blake Moore Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesiacare Pc, Anesthesiologists Associated Pc and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 261-3606.

Mr Norman Blake Moore Jr is licensed to practice in Alabama (license number 1-090700) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225030372.

Contact Information

Mr Norman Blake Moore Jr, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 261-3606
(601) 579-5383



Provider's Profile

Full NameMr Norman Blake Moore Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Norman Blake Moore Jr graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1225030372
  • Provider Enumeration Date: 06/01/2005
  • Last Update Date: 07/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698932630
  • Enrollment ID: I20120202000915

Medical Identifiers

Medical identifiers for Mr Norman Blake Moore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225030372NPI-NPPES
01934777MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 901401 (Mississippi)Secondary
367500000XNurse Anesthetist, Certified Registered 1-090700 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesiacare Pc296172716913
Anesthesiologists Associated Pc6204739519361

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Norman Blake Moore Jr allows following entities to bill medicare on his behalf.
Entity NameMobile Infirmary Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558364802
PECOS PAC ID: 3476456625
Enrollment ID: O20040127000970

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Entity NameAnesthesiologists Associated Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851371850
PECOS PAC ID: 6204739519
Enrollment ID: O20040202000465

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Entity NameGulf Health Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134164924
PECOS PAC ID: 3375448491
Enrollment ID: O20110208000622

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Entity NameAnesthesiacare Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881099174
PECOS PAC ID: 2961727169
Enrollment ID: O20150211000141

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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. Mr Norman Blake Moore Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Norman Blake Moore Jr, CRNA
2890 Dauphin St,
Mobile, AL 36606-2457

Ph: (601) 261-3606
Mr Norman Blake Moore Jr, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 261-3606

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Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Mr. Corey White,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Daniel Attaway, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    
Brandon Scott Figueiredo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Scott Evans Walker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166

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