Ann R Moore, NP in Elkhart, IN - Medicare Nurse Practitioner

Ann R Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Elkhart, Indiana. Her current practice location is 500 Arcade Ave, Ste 210, Elkhart, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 389-5656.

Ann R Moore is licensed to practice in Indiana (license number 71003777A) 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 1104167386.

Contact Information

	Ann R Moore, NP
	500 Arcade Ave, Ste 210, Elkhart, IN 46514-2485
	(574) 389-5656
	(574) 523-7891

Map and Direction

Provider's Profile

Full Name	Ann R Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	500 Arcade Ave, Elkhart, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104167386
Provider Enumeration Date: 03/12/2013
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5092076935
Enrollment ID: I20180309001349

Medical Identifiers

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

Identifier	Type	State	Issuer
1104167386	NPI	-	NPPES
300012625	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71003777A (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. Ann R Moore allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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 R 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
Ann R Moore, NP 3245 Health Drive, Suite 100, Granger, IN 46530-3245 Ph: (574) 647-1840	Ann R Moore, NP 500 Arcade Ave, Ste 210, Elkhart, IN 46514-2485 Ph: (574) 389-5656

Reviews and Comments

Nurse Practitioner Nurses in Elkhart, IN

Elizabeth W Maina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Ms. Cecilia Mumbi Maina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Mr. Kenneth Francis Raderstorf Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-266-5342 Fax: 574-266-5847
Rosemary J Eash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Lorraine Doris Swartzentruber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Mrs. Catherine E Dos Santos, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3421 S Main St, Elkhart, IN 46517 Phone: 574-295-7178 Fax: 574-295-8822

Ann R Moore, NP - Medicare Nurse Practitioner in Elkhart, IN