Allison D Moore, CRNP in Dothan, AL - Medicare Nurse Practitioner

Allison D Moore, CRNP is a medicare enrolled "Nurse Practitioner" in Dothan, Alabama. Her current practice location is 1901 Melba Drive, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 794-6611.

Allison D Moore is licensed to practice in Alabama (license number 1081292) 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 1548229602.

Contact Information

	Allison D Moore, CRNP
	1901 Melba Drive, Dothan, AL 36301
	(334) 794-6611
	(334) 794-6614

Map and Direction

Provider's Profile

Full Name	Allison D Moore
Gender	Female
Speciality	Nurse Practitioner
Location	1901 Melba Drive, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548229602
Provider Enumeration Date: 03/18/2006
Last Update Date: 11/19/2007

Medicare PECOS Information:

PECOS PAC ID: 5991837312
Enrollment ID: I20100721000538

Medical Identifiers

Medical identifiers for Allison D Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548229602	NPI	-	NPPES
00012172	Medicaid	AL
051512172	Other	AL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1081292 (Alabama)	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. Allison D Moore allows following entities to bill medicare on her behalf.

Entity Name	Extended Care Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902182371 PECOS PAC ID: 8921275710 Enrollment ID: O20120119000166

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. Allison D 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
Allison D Moore, CRNP 1901 Melba Drive, Dothan, AL 36301 Ph: (334) 794-6611	Allison D Moore, CRNP 1901 Melba Drive, Dothan, AL 36301 Ph: (334) 794-6611

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Allison D Moore, CRNP - Medicare Nurse Practitioner in Dothan, AL