Alisha Marie Moore, is a medicare enrolled "Nurse Practitioner - Family" physician in Tuscaloosa, Alabama. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Internal Medicine Associates Of Tuscaloosa, P.c. and her current practice location is
100 Rice Mine Rd N Ste B, Tuscaloosa, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 349-4200.
Alisha Marie Moore is licensed to practice in Alabama (license number 1-116590) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710407150.
Physician's Profile
Full Name | Alisha Marie Moore |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 100 Rice Mine Rd N Ste B, Tuscaloosa, Alabama |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alisha Marie Moore graduated from medical school in 2017
NPI Data:
- NPI Number: 1710407150
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183984057
- Enrollment ID: I20180214002055
Medical Identifiers
Medical identifiers for Alisha Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710407150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 630900428 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-116590 (Alabama) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Internal Medicine Associates Of Tuscaloosa, P.c. | 6800813957 | 10 |
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. Alisha Marie Moore allows following entities to bill medicare on her behalf.
Entity Name | Internal Medicine Associates Of Tuscaloosa, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225146004 PECOS PAC ID: 6800813957 Enrollment ID: O20051027000777 |
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Entity Name | Northside Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922716018 PECOS PAC ID: 5799143822 Enrollment ID: O20230622001710 |
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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. Alisha Marie 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 |
Alisha Marie Moore, 1957 Vic Green Rd, Northport, AL 35475-4964 Ph: (205) 792-3433 | Alisha Marie Moore, 100 Rice Mine Rd N Ste B, Tuscaloosa, AL 35406-2375 Ph: (205) 349-4200 |
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