Pamela M Moore, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Urbana, Illinois. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carle Health Care Incorporated and her current practice location is
611 W. Park St., Cardiology, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 904-7000.
Pamela M Moore is licensed to practice in Illinois (license number 209-006880) 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 1881701308.
Physician's Profile
| Full Name | Pamela M Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 27 Years |
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| Location | 611 W. Park St., Urbana, Illinois |
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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:
- Pamela M Moore graduated from medical school in 1997
NPI Data:
- NPI Number: 1881701308
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 05/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 4587603824
- Enrollment ID: I20110309000975
Medical Identifiers
Medical identifiers for Pamela M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881701308 | NPI | - | NPPES |
| 103086 | Other | | MC COCHISE |
| 300051634 | Other | | MARICOPA FOUND |
| 448664 | Other | | MERCY CARE |
| 103087 | Other | AZ | RR MC PIN |
| 103087 | Other | | MC PIMA |
| 1Z1408 | Other | | INTERGROUP HEALTHNET |
| 300051634 | Other | | HUMANA |
| 448664 | Other | | AHCCCS |
| AZ0819900 | Other | AZ | BCBS |
| 300051634 | Other | AZ | HEALTH PLAN AHP |
| 300051634 | Other | | CIGNA |
| 102542 | Other | AZ | RR MC GRP |
| 103086 | Other | AZ | RR MC PIN |
| 500005593 | Other | | TRAVELERS MC |
| 300051634 | Other | | AETNA |
| 448664 | Other | | INDIAN HEALTH |
| 448664 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | RN81005 (Arizona) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209-006880 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carle Health Care Incorporated | 3577515774 | 799 |
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. Pamela M Moore allows following entities to bill medicare on her behalf.
| Entity Name | Prairie Cardiovascular Consultants Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982714218
PECOS PAC ID: 3173435880
Enrollment ID: O20031103000090 |
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| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829 |
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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. Pamela M 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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Pamela M Moore, NP
611 W. Park St., Bwpc,
Urbana, IL 61801-2500
Ph: (217) 383-6792 | Pamela M Moore, NP
611 W. Park St., Cardiology,
Urbana, IL 61801-2500
Ph: (217) 904-7000 |
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