William C Moore, CRNA - Nurse Anesthetist, Certified Registered in Lake Elmo, MN

William C Moore, CRNA is a Nurse Anesthetist, Certified Registered based in Lake Elmo, Minnesota. William C Moore is licensed to practice in Minnesota (license number R070888-1) and his current practice location is 8650 Hudson Blvd N, Lake Elmo, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 702-7400.

NPI number for William C Moore is 1114963451 and his current mailing address is 14700 28th Ave N, Suite 20, Plymouth, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114963451.

Contact Information

William C Moore, CRNA
8650 Hudson Blvd N,
Lake Elmo, MN 55042-9747
(651) 702-7400
Not Available



Provider's Profile

Full NameWilliam C Moore
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location8650 Hudson Blvd N, Lake Elmo, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114963451
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for William C Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114963451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R070888-1 (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. William C 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
William C Moore, CRNA
14700 28th Ave N, Suite 20,
Plymouth, MN 55447-4835

Ph: (763) 559-3779
William C Moore, CRNA
8650 Hudson Blvd N,
Lake Elmo, MN 55042-9747

Ph: (651) 702-7400

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› Verified 1 days ago


Nurse Anesthetist, Certified Registered Nurses in Lake Elmo, MN

Michelle Cunningham,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042
Phone: 651-702-7400    
John R Lowe, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 8650 Hudson Blvd N, Lake Elmo, MN 55042
Phone: 651-702-7400    
James R Benyon, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 8650 Hudson Blvd N, Lake Elmo, MN 55042
Phone: 651-702-7400    
Mark J Mayry, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 8650 Hudson Blvd N, Lake Elmo, MN 55042
Phone: 651-702-7400    
Patricia Akers,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042
Phone: 651-702-7400    Fax: 651-702-7414
Joseph C Weinberg, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 8650 Hudson Blvd N, Lake Elmo, MN 55042
Phone: 651-702-7400    

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