Kellyanna J Moore, MD in Owatonna, MN - Medicare Family Practice

Kellyanna J Moore, MD is a medicare enrolled "Family Medicine" physician in Owatonna, Minnesota. She went to University Of Minnesota Medical School and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mayo Clinic Health System-southeast Minnesota Region and her current practice location is 2200 Nw 26th St, Owatonna, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 451-1120.

Kellyanna J Moore is licensed to practice in Minnesota (license number 44578) 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 1538120746.

Contact Information

	Kellyanna J Moore, MD
	2200 Nw 26th St, Owatonna, MN 55060-5503
	(507) 451-1120
	(507) 444-6287

Map and Direction

Physician's Profile

Full Name	Kellyanna J Moore
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	2200 Nw 26th St, Owatonna, Minnesota
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:

Kellyanna J Moore attended and graduated from University Of Minnesota Medical School in 1999

NPI Data:

NPI Number: 1538120746
Provider Enumeration Date: 03/29/2006
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3779597430
Enrollment ID: I20060201000764

Medical Identifiers

Medical identifiers for Kellyanna J Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538120746	NPI	-	NPPES
854628200	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	44578 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Health System - Albert Lea And Austin	Albert lea, MN	Hospital
Mayo Clinic Health System - Mankato	Mankato, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic Health System-southeast Minnesota Region	4385556703	560

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. Kellyanna J Moore allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Health System-southeast Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408

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. Kellyanna J 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
Kellyanna J Moore, MD 2200 Nw 26th St, Owatonna, MN 55060-5503 Ph: (507) 451-1120	Kellyanna J Moore, MD 2200 Nw 26th St, Owatonna, MN 55060-5503 Ph: (507) 451-1120

Reviews and Comments

Family Medicine Doctors in Owatonna, MN

Eleanor O Vita, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Southview St, Owatonna, MN 55060 Phone: 507-451-1120 Fax: 507-444-6287
Dr. Annie Marie Kontos, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120
Bradley A Bohn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120
Mrs. Mallory Lynn Berry, APRN-CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120
Jack A Felland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120 Fax: 507-444-6287
Ms. Katherine Louise Clubb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 612-703-0744 Fax: 651-241-1116
Jason Trevor Wray-raabolle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120 Fax: 507-444-6287

Kellyanna J Moore, MD - Medicare Family Practice in Owatonna, MN