Individual ProviderPatrick A MooreAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3315 Watt Ave, Sacramento, CA 95821-3600(916) 481-6800PECOS EnrollmentBased on the most recent information from CMS, provider Patrick A Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1316949829Provider TypeIndividualFull NameMoore, Patrick ATitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/15/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address3315 Watt Ave, Sacramento, CA 95821-3600Phone(916) 481-6800Fax(916) 481-1881Mailing LocationMailing AddressPO Box 660970, Sacramento, CA 95866-0970Phone(916) 481-6800Fax(916) 481-1881Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseG51216CaliforniaProvider IdentifiersIDDescriptionIssuerIDYYY20507YDescriptionMedicaidIssuerUnlistedCalifornia