Ms Freaddie V Moore, CRNA - Nurse Anesthetist, Certified Registered in Bingham Farms, MI

Ms Freaddie V Moore, CRNA is a Nurse Anesthetist, Certified Registered based in Bingham Farms, Michigan. Ms Freaddie V Moore is licensed to practice in Michigan (license number 4704100987) and her current practice location is 30200 Telegraph Road, 220, Bingham Farms, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 258-5058.

NPI number for Ms Freaddie V Moore is 1265542245 and her current mailing address is 804 Scott Nixon Memorial Drive, Augusta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265542245.

Contact Information

Ms Freaddie V Moore, CRNA
30200 Telegraph Road, 220,
Bingham Farms, MI 48025-4502
(248) 258-5058
(248) 927-5058



Provider's Profile

Full NameMs Freaddie V Moore
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location30200 Telegraph Road, Bingham Farms, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265542245
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 03/30/2012

Medical Identifiers

Medical identifiers for Ms Freaddie V Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265542245NPI-NPPES
4834216-10MedicaidMI
11802435OtherCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 4704100987 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 4704100987 (Michigan)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. Ms Freaddie V 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
Ms Freaddie V Moore, CRNA
804 Scott Nixon Memorial Drive,
Augusta, GA 30907-2464

Ph: (800) 394-4445
Ms Freaddie V Moore, CRNA
30200 Telegraph Road, 220,
Bingham Farms, MI 48025-4502

Ph: (248) 258-5058

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› Verified 4 days ago


Nurse Anesthetist, Certified Registered Nurses in Bingham Farms, MI

Michele Burke, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Paul Santoro, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Philip Biland,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Timothy Marx, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Julie Staczek-marx, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Michael Bonds, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Treavor Eimers,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30200 Telegraph Rd, #220, Bingham Farms, MI 48025
Phone: 248-258-5058    Fax: 248-927-5058

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