Candice Diane Moore, in Fort Worth, TX - Medicare Nurse Practitioner

Candice Diane Moore, is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 1412 May St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 625-8818.

Candice Diane Moore is licensed to practice in Texas (license number AP133309) 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 1972043131.

Contact Information

	Candice Diane Moore,
	1412 May St, Fort Worth, TX 76104-7639
	(817) 625-8818
	(817) 625-7850

Map and Direction

Provider's Profile

Full Name	Candice Diane Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1412 May St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972043131
Provider Enumeration Date: 03/06/2017
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 0244596740
Enrollment ID: I20171116002030

Medical Identifiers

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

Identifier	Type	State	Issuer
1972043131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP133309 (Texas)	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. Candice Diane Moore allows following entities to bill medicare on her behalf.

Entity Name	Dr. Samuel C. Lee, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861677700 PECOS PAC ID: 4082600440 Enrollment ID: O20040421001491

Entity Name	Wellmed Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519

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. Candice Diane 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
Candice Diane Moore, 1412 May St, Fort Worth, TX 76104-7639 Ph: (817) 625-8818	Candice Diane Moore, 1412 May St, Fort Worth, TX 76104-7639 Ph: (817) 625-8818

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Candice Diane Moore, - Medicare Nurse Practitioner in Fort Worth, TX