Individual ProviderCaitlin MoorePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address619 19th St S, Birmingham, AL 35249(205) 934-4011(205) 731-9701PECOS EnrollmentBased on the most recent information from CMS, provider Caitlin Moore is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1598117020Provider TypeIndividualFull NameMoore, CaitlinCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date7/8/2016Last Updated6/4/2018Contact InformationPractice LocationPractice Address619 19th St S, Birmingham, AL 35249Phone(205) 934-4011Fax(205) 297-9411Mailing LocationMailing AddressPO Box 55310, Birmingham, AL 35255-5310Phone(205) 731-9701Fax(205) 297-9411Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense1321Alabama