Ms Nikki Marlene Moore, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Boynton Beach, Florida. Her current practice location is
505 Se 6th Ave., Boynton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 736-8806.
Ms Nikki Marlene Moore is licensed to practice in Florida (license number APRN9365125) 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 1336785443.
Physician's Profile
| Full Name | Ms Nikki Marlene Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 505 Se 6th Ave., Boynton Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336785443
- Provider Enumeration Date: 11/24/2019
- Last Update Date: 06/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577949767
- Enrollment ID: I20220926000520
Medical Identifiers
Medical identifiers for Ms Nikki Marlene Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336785443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 9365125 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9365125 (Florida) | 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. Ms Nikki Marlene Moore allows following entities to bill medicare on her behalf.
| Entity Name | Ayman L Atallah Md Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598073611
PECOS PAC ID: 6103015060
Enrollment ID: O20110106001211 |
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| Entity Name | Atallah Acute Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033873062
PECOS PAC ID: 1355730326
Enrollment ID: O20211112000236 |
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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. Ms Nikki Marlene 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 |
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Ms Nikki Marlene Moore, APRN, NP-C
10354 Fox Trail Rd S Apt 1504, 1504,
West Palm Beach, FL 33411-1439
Ph: (817) 487-1757 | Ms Nikki Marlene Moore, APRN, NP-C
505 Se 6th Ave.,
Boynton Beach, FL 33435
Ph: (561) 736-8806 |
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