Clista A Moore, CNP in Englewood, OH - Medicare Nurse Practitioner

Clista A Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Englewood, Ohio. Her current practice location is 885 Union Blvd, Englewood, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 832-4091.

Clista A Moore is licensed to practice in Ohio (license number APRN.CNP.18805) 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 1467811695.

Contact Information

	Clista A Moore, CNP
	885 Union Blvd, Englewood, OH 45322-2102
	(937) 832-4091
	Not Available

Map and Direction

Provider's Profile

Full Name	Clista A Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	885 Union Blvd, Englewood, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467811695
Provider Enumeration Date: 02/16/2016
Last Update Date: 07/17/2020

Medicare PECOS Information:

PECOS PAC ID: 3173820727
Enrollment ID: I20160324001283

Medical Identifiers

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

Identifier	Type	State	Issuer
1467811695	NPI	-	NPPES
0158584	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.18805 (Ohio)	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. Clista A Moore allows following entities to bill medicare on her behalf.

Entity Name	Fayette County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508978677 PECOS PAC ID: 7719886738 Enrollment ID: O20040108000047

Entity Name	Samaritan Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659503886 PECOS PAC ID: 5092608372 Enrollment ID: O20040203000210

Entity Name	Adena Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007

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. Clista A 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
Clista A Moore, CNP 1450 Columbus Ave, Suite B 6-7-8, Washington Court House, OH 43160-3701 Ph: (740) 333-2236	Clista A Moore, CNP 885 Union Blvd, Englewood, OH 45322-2102 Ph: (937) 832-4091

Reviews and Comments

Nurse Practitioner Nurses in Englewood, OH

Ms. Krista A Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 W National Rd Ste 400, Englewood, OH 45315 Phone: 937-836-6000 Fax: 937-832-4805
Ashley Nicole Mowen, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Westrock Farm Dr, Englewood, OH 45322 Phone: 937-307-3705
Amy Renee Letts, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 305, Englewood, OH 45415 Phone: 937-836-5542 Fax: 937-836-4152
Stacey Michelle Mcroberts, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Englewood, OH 45415 Phone: 937-991-3188
Emily Ann Allen, MSN, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Englewood, OH 45415 Phone: 937-541-3563
Rose Manka Amin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6830 Packingham Dr, Englewood, OH 45322 Phone: 937-367-5957
Nicole Ann Gross, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 W Wenger Rd, Englewood, OH 45322 Phone: 937-620-7017

Clista A Moore, CNP - Medicare Nurse Practitioner in Englewood, OH