Casey Moore, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Casey Moore, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 1697 Kings Rd Ste 1, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 478-5483.

Casey Moore is licensed to practice in Florida (license number 11018653) 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 1033867759.

Contact Information

	Casey Moore, APRN
	1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169
	(904) 478-5483
	Not Available

Map and Direction

Provider's Profile

Full Name	Casey Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1697 Kings Rd Ste 1, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033867759
Provider Enumeration Date: 03/11/2022
Last Update Date: 05/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6901285634
Enrollment ID: I20220627000234

Medical Identifiers

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

Identifier	Type	State	Issuer
1033867759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11018653 (Florida)	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. Casey Moore allows following entities to bill medicare on her behalf.

Entity Name	Pareto Population Health Management Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598396392 PECOS PAC ID: 6103256623 Enrollment ID: O20200424001795

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. Casey 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
Casey Moore, APRN 634 Dyal St, Jacksonville, FL 32206-3916 Ph: (904) 446-7854	Casey Moore, APRN 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 Ph: (904) 478-5483

Reviews and Comments

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Casey Moore, APRN - Medicare Nurse Practitioner in Jacksonville, FL