Bethany Wright Moura, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" physician in Houston, Texas. Her current practice location is
6410 Fannin St, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(888) 488-3627.
Bethany Wright Moura is licensed to practice in Texas (license number AP145883) 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 1841803756.
Physician's Profile
Full Name | Bethany Wright Moura |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics, Critical Care |
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Location | 6410 Fannin St, Houston, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841803756
- Provider Enumeration Date: 08/29/2020
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103245295
- Enrollment ID: I20200923000183
Medical Identifiers
Medical identifiers for Bethany Wright Moura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841803756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | AP145883 (Texas) | Secondary |
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | AP145883 (Texas) | Primary |
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. Bethany Wright Moura allows following entities to bill medicare on her behalf.
Entity Name | Ut Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
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Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
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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. Bethany Wright Moura 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 |
Bethany Wright Moura, CPNP-AC 7000 Fannin St Ste 1020, Houston, TX 77030-5400 Ph: (713) 500-3962 | Bethany Wright Moura, CPNP-AC 6410 Fannin St, Houston, TX 77030-3000 Ph: (888) 488-3627 |
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