Alisha Marie Moore, is a medicare enrolled "Nurse Practitioner - Family" physician in Tuscaloosa, Alabama. 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 | |
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Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1710407150
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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