Alicia Shandrell Moore, NP in Shreveport, LA - Medicare Nurse Practitioner

Alicia Shandrell Moore, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Shreveport, Louisiana. Her current practice location is 2205 E 70th St, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 797-1585.

Alicia Shandrell Moore is licensed to practice in Louisiana (license number 221828) 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 1598427999.

Contact Information

	Alicia Shandrell Moore, NP
	2205 E 70th St, Shreveport, LA 71105-5321
	(318) 797-1585
	Not Available

Map and Direction

Provider's Profile

Full Name	Alicia Shandrell Moore
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	2205 E 70th St, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598427999
Provider Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8426440397
Enrollment ID: I20220126003105

Medical Identifiers

Medical identifiers for Alicia Shandrell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598427999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	221828 (Louisiana)	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. Alicia Shandrell Moore allows following entities to bill medicare on her behalf.

Entity Name	Curana Health Of Louisiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538399704 PECOS PAC ID: 4880731355 Enrollment ID: O20091103000048

Entity Name	Ch Mssp Services La Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982285060 PECOS PAC ID: 6901206416 Enrollment ID: O20210621000338

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. Alicia Shandrell 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
Alicia Shandrell Moore, NP 5610 Buncombe Rd Apt 1308, Shreveport, LA 71129-3623 Ph: (318) 302-1685	Alicia Shandrell Moore, NP 2205 E 70th St, Shreveport, LA 71105-5321 Ph: (318) 797-1585

Reviews and Comments

Nurse Practitioner Nurses in Shreveport, LA

Lasonya Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7840 Jewella Ave, Shreveport, LA 71108 Phone: 318-401-1432 Fax: 318-562-3889
James E Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Phone: 318-629-5555 Fax: 318-629-5556
Tamara J Trainer, RN, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Fairfield Room 551, Dhh-office Of Public Health, Shreveport, LA 71101 Phone: 318-676-7470
Ms. Shannon Renee Gully, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Alana O Bragg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-5379 Fax: 318-675-4671
Pamela B. Simmons, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Olive St, Shreveport, LA 71104 Phone: 318-470-6194
Barbara Lynn Bruner, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Alicia Shandrell Moore, NP - Medicare Nurse Practitioner in Shreveport, LA