Gerri L Moore, ARNP is a medicare enrolled "Nurse Practitioner" physician in Henderson, Kentucky. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deaconess Clinic Inc, Deaconess Clinic Inc and her current practice location is
340 Starlite Dr, Henderson, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 844-8515.
Gerri L Moore is licensed to practice in Kentucky (license number 3005741) 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 1235379215.
Physician's Profile
| Full Name | Gerri L Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 340 Starlite Dr, Henderson, Kentucky |
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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. |
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Medical Education and Training:
- Gerri L Moore graduated from medical school in 2008
NPI Data:
- NPI Number: 1235379215
- Provider Enumeration Date: 03/03/2009
- Last Update Date: 10/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 1658429899
- Enrollment ID: I20090428000377
Medical Identifiers
Medical identifiers for Gerri L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235379215 | NPI | - | NPPES |
| 7100075040 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 3005741 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 71006183A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3005741 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3005741 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Deaconess Clinic Inc | 3375610116 | 343 |
| Deaconess Clinic Inc | 3375610116 | 343 |
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. Gerri L Moore allows following entities to bill medicare on her behalf.
| Entity Name | Southeastern Emergency Services P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20031219000755 |
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| Entity Name | Deaconess Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891941688
PECOS PAC ID: 3375610116
Enrollment ID: O20081017000259 |
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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. Gerri 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 |
|---|
Gerri L Moore, ARNP
Po Box 1510,
Evansville, IN 47706-1510
Ph: (812) 450-6815 | Gerri L Moore, ARNP
340 Starlite Dr,
Henderson, KY 42420-6102
Ph: (270) 844-8515 |
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