Abbey Theresa Moynahan, CRNP in Lakewood, NJ - Medicare Nurse Practitioner

Abbey Theresa Moynahan, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Lakewood, New Jersey. Her current practice location is 685 River Ave, Lakewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 486-7373.

Abbey Theresa Moynahan is licensed to practice in Pennsylvania (license number SP026816) 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 1629774765.

Contact Information

	Abbey Theresa Moynahan, CRNP
	685 River Ave, Lakewood, NJ 08701-5288
	(732) 486-7373
	Not Available

Map and Direction

Provider's Profile

Full Name	Abbey Theresa Moynahan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	685 River Ave, Lakewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629774765
Provider Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2062885189
Enrollment ID: I20230310000015

Medical Identifiers

Medical identifiers for Abbey Theresa Moynahan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629774765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP026816 (Pennsylvania)	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. Abbey Theresa Moynahan allows following entities to bill medicare on her behalf.

Entity Name	Vitality Np Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003453051 PECOS PAC ID: 1052747128 Enrollment ID: O20200210000033

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. Abbey Theresa Moynahan 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
Abbey Theresa Moynahan, CRNP 412 Chancellor Ave, Elkins Park, PA 19027-1843 Ph: (267) 372-4827	Abbey Theresa Moynahan, CRNP 685 River Ave, Lakewood, NJ 08701-5288 Ph: (732) 486-7373

Reviews and Comments

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Abbey Theresa Moynahan, CRNP - Medicare Nurse Practitioner in Lakewood, NJ