Alyssa Moore, APRN in Brockton, MA - Medicare Nurse Practitioner

Alyssa Moore, APRN is a medicare enrolled "Nurse Practitioner" in Brockton, Massachusetts. Her current practice location is Va Brockton, 940 Belmont St Bld, 4 Basement Gec, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 826-1842.

Alyssa Moore is licensed to practice in Massachusetts (license number RN2340503) 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 1528471745.

Contact Information

	Alyssa Moore, APRN
	Va Brockton, 940 Belmont St Bld, 4 Basement Gec, Brockton, MA 02301
	(774) 826-1842
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyssa Moore
Gender	Female
Speciality	Nurse Practitioner
Location	Va Brockton, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528471745
Provider Enumeration Date: 06/05/2014
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6608137344
Enrollment ID: I20191126002491

Medical Identifiers

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

Identifier	Type	State	Issuer
1528471745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN002831 (Nevada)	Secondary
363L00000X	Nurse Practitioner	RN2340503 (Massachusetts)	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 Moore allows following entities to bill medicare on her behalf.

Entity Name	Old Pueblo Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306890793 PECOS PAC ID: 4981607512 Enrollment ID: O20060821000095

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 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
Alyssa Moore, APRN Va Brockton, 940 Belmont St Bld, 4 Basement Gec, Brockton, MA 02301 Ph: (774) 826-3875	Alyssa Moore, APRN Va Brockton, 940 Belmont St Bld, 4 Basement Gec, Brockton, MA 02301 Ph: (774) 826-1842

Reviews and Comments

Nurse Practitioner Nurses in Brockton, MA

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Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 529 Pearl St, Brockton, MA 02301 Phone: 617-922-4626
Mrs. Henrietta Amaka Ewuzie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Heritage Ct, Brockton, MA 02302 Phone: 857-233-1890
Mrs. Rena B Levy, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0412
Lauren Kaplan, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1324 Belmont St Ste 105, Brockton, MA 02301 Phone: 617-571-6732

Alyssa Moore, APRN - Medicare Nurse Practitioner in Brockton, MA