Alyssa Marie Moon, in Kokomo, IN - Medicare Nurse Practitioner

Alyssa Marie Moon, is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Indiana. Her current practice location is 138 N Dixon Rd, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 236-8282.

Alyssa Marie Moon is licensed to practice in Indiana (license number 71014484A) 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 1497534630.

Contact Information

	Alyssa Marie Moon,
	138 N Dixon Rd, Kokomo, IN 46901-4154
	(765) 236-8282
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyssa Marie Moon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	138 N Dixon Rd, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497534630
Provider Enumeration Date: 09/27/2023
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 6800233180
Enrollment ID: I20240321003624

Medical Identifiers

Medical identifiers for Alyssa Marie Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497534630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	18004578283 (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71014484A (Indiana)	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. Alyssa Marie Moon allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942317656 PECOS PAC ID: 8123923281 Enrollment ID: O20031206000001

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. Alyssa Marie Moon 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
Alyssa Marie Moon, 138 N Dixon Rd, Kokomo, IN 46901-4154 Ph: () -	Alyssa Marie Moon, 138 N Dixon Rd, Kokomo, IN 46901-4154 Ph: (765) 236-8282

Reviews and Comments

Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160

Alyssa Marie Moon, - Medicare Nurse Practitioner in Kokomo, IN