Carol D Moore, APRN in Dickson, TN - Medicare Nurse Practitioner

Carol D Moore, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Dickson, Tennessee. Her current practice location is 127 Crestview Park Dr Ste 205, Dickson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 441-4592.

Carol D Moore is licensed to practice in Tennessee (license number APN06523) 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 1841328069.

Contact Information

	Carol D Moore, APRN
	127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856
	(615) 441-4592
	(615) 441-4585

Map and Direction

Provider's Profile

Full Name	Carol D Moore
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	127 Crestview Park Dr Ste 205, Dickson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841328069
Provider Enumeration Date: 03/01/2007
Last Update Date: 01/28/2021

Medicare PECOS Information:

PECOS PAC ID: 7719085828
Enrollment ID: I20070612000773

Medical Identifiers

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

Identifier	Type	State	Issuer
1841328069	NPI	-	NPPES
3341015	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	APN06523 (Tennessee)	Primary
363LF0000X	Nurse Practitioner - Family	APN0000006523 (Tennessee)	Secondary

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. Carol D Moore allows following entities to bill medicare on her behalf.

Entity Name	Dickson Medical Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568464873 PECOS PAC ID: 3971408774 Enrollment ID: O20031204000828

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Carol D 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
Carol D Moore, APRN 127 Crestview Park Dr Ste 209, Dickson, TN 37055-2856 Ph: (615) 446-5121	Carol D Moore, APRN 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 Ph: (615) 441-4592

Reviews and Comments

Nurse Practitioner Nurses in Dickson, TN

Heather Nicole Mangrum, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Crestview Park Dr Ste 2, Dickson, TN 37055 Phone: 615-740-5233 Fax: 615-740-5226
Ms. Jennifer Catherine Gorzny, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 758 Highway 46 S, Dickson, TN 37055 Phone: 615-446-2708 Fax: 615-441-5121
Ms. Rose Dawn Widener, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7105 Ramsey Way, Dickson, TN 37055 Phone: 615-446-4999 Fax: 615-326-0099
Jessica Dawn Lane, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Creekside Dr, Dickson, TN 37055 Phone: 615-441-6140
Mrs. Kristina D Thornberry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Henslee Dr, Dickson, TN 37055 Phone: 615-441-5580
Mrs. Elise Howorth Bobrowski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Highway 70 E Ste D, Dickson, TN 37055 Phone: 615-441-4503 Fax: 615-441-4575
Deandra Latisha Smith, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Ramsey Way, Dickson, TN 37055 Phone: 901-643-0993

Carol D Moore, APRN - Medicare Nurse Practitioner in Dickson, TN