Mrs Laurie Anne Moore, PA in Fort Leonard Wood, MO - Physician Assistant

Mrs Laurie Anne Moore, PA is a Physician Assistant based in Fort Leonard Wood, Missouri. Mrs Laurie Anne Moore is licensed to practice in Missouri (license number 118221) and her current practice location is 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 596-0417.

NPI number for Mrs Laurie Anne Moore is 1295713246 and her current mailing address is 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295713246.

Contact Information

	Mrs Laurie Anne Moore, PA
	126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952
	(573) 596-0417
	(573) 596-0524

Provider's Profile

Full Name	Mrs Laurie Anne Moore
Gender	Female
Speciality	Physician Assistant
Location	126 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1295713246
Provider Enumeration Date: 01/09/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Laurie Anne Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295713246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	118221 (Missouri)	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. Mrs Laurie Anne 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 Address	Practice Location Address
Mrs Laurie Anne Moore, PA 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417	Mrs Laurie Anne Moore, PA 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417

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Physician Assistant Nurses in Fort Leonard Wood, MO

Mr. Jon-marc Thibodeau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035
Rickey Rodger Martin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Charles Gang, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417
Mr. Rexford Allan Plank Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Toben Lybarger, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0456
Michael Steven Godat, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Mark S Short, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524

Mrs Laurie Anne Moore, PA - Physician Assistant in Fort Leonard Wood, MO