Fred Moline, in Tampa, FL - Medicare Nurse Practitioner

Fred Moline, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tampa, Florida. His current practice location is 5510 N Hesperides St, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 467-6111.

Fred Moline is licensed to practice in Florida (license number 11025185) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649971334.

Contact Information

	Fred Moline,
	5510 N Hesperides St, Tampa, FL 33614-5414
	(813) 467-6111
	Not Available

Map and Direction

Provider's Profile

Full Name	Fred Moline
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5510 N Hesperides St, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649971334
Provider Enumeration Date: 03/10/2023
Last Update Date: 04/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1658736319
Enrollment ID: I20230502001434

Medical Identifiers

Medical identifiers for Fred Moline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649971334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11025185 (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. Fred Moline allows following entities to bill medicare on his behalf.

Entity Name	Thrive Behavioral Sciences- Orlando Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063979730 PECOS PAC ID: 9739420654 Enrollment ID: O20190402002627

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Fred Moline 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
Fred Moline, 450 Ne 160th Ter, North Miami Beach, FL 33162-4339 Ph: (305) 927-6073	Fred Moline, 5510 N Hesperides St, Tampa, FL 33614-5414 Ph: (813) 467-6111

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Fred Moline, - Medicare Nurse Practitioner in Tampa, FL