Gloria L Moore, FNP in Port Huron, MI - Medicare Counselor Provider

Gloria L Moore, FNP is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Port Huron, Michigan. Her current practice location is 1530 Pine Grove Ave Ste 1, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 357-8769.

Gloria L Moore is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073235859.

Contact Information

	Gloria L Moore, FNP
	1530 Pine Grove Ave Ste 1, Port Huron, MI 48060-3370
	(810) 357-8769
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gloria L Moore
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1530 Pine Grove Ave Ste 1, Port Huron, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073235859
Provider Enumeration Date: 09/19/2022
Last Update Date: 11/06/2024

Medicare PECOS Information:

PECOS PAC ID: 4284089574
Enrollment ID: I20231005003016

Medical Identifiers

Medical identifiers for Gloria L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073235859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
163WX1500X	Registered Nurse - Ostomy Care	4704263386 (Michigan)	Secondary
225200000X	Physical Therapy Assistant	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
163WW0000X	Registered Nurse - Wound Care	4704263386 (Michigan)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	4704263386 (Michigan)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	4704301246NSA220SA (Michigan)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gloria L Moore allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855

Entity Name	Vinculum Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306538079 PECOS PAC ID: 1557716842 Enrollment ID: O20231005002925

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. Gloria L Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gloria L Moore, FNP 5316 Lakeshore Rd, Fort Gratiot, MI 48059-3118 Ph: (810) 357-8792	Gloria L Moore, FNP 1530 Pine Grove Ave Ste 1, Port Huron, MI 48060-3370 Ph: (810) 357-8769

Reviews and Comments

Counselor in Port Huron, MI

Rebecca Lynn Guerra, M.A., LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-455-0102 Fax: 810-984-8896
Adam Charles Mchenry, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Military St, Port Huron, MI 48060 Phone: 810-985-5168 Fax: 810-248-1568
Kari Kathleen Trempler, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-984-4202 Fax: 810-984-8896
Alleaner Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Military St, Port Huron, MI 48060 Phone: 810-987-7050
Amy Sue Smith, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-966-7830 Fax: 810-985-7620
Mrs. Lindsay Alice Krauskopf, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Military St, Port Huron, MI 48060 Phone: 810-985-5168 Fax: 800-248-1568
Brandi Demetroff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2414 Petit St, Port Huron, MI 48060 Phone: 810-238-0483

Gloria L Moore, FNP - Medicare Counselor in Port Huron, MI