Ann N Moffett, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Smelterville, Idaho. Her current practice location is
858 Commerce Dr., Smelterville, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 784-4612.
Ann N Moffett is licensed to practice in Idaho (license number 57731) 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 1578061883.
Provider's Profile
Full Name | Ann N Moffett |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 858 Commerce Dr., Smelterville, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578061883
- Provider Enumeration Date: 02/01/2018
- Last Update Date: 02/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 0446511323
- Enrollment ID: I20180312000934
Medical Identifiers
Medical identifiers for Ann N Moffett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578061883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 57731 (Idaho) | 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. Ann N Moffett allows following entities to bill medicare on her behalf.
Entity Name | Shoshone Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20050113001084 |
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Entity Name | Shoshone Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20061104000442 |
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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. Ann N Moffett 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 |
Ann N Moffett, NP-C 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 Ph: (208) 784-4612 | Ann N Moffett, NP-C 858 Commerce Dr., Smelterville, ID 83858 Ph: (208) 784-4612 |
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