Gwendolyn Moore, NP - Medicare Nurse Practitioner in Syracuse, NY

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Gwendolyn Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Syracuse, New York. Her current practice location is 750 E Adams St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 474-1561.

Gwendolyn Moore is licensed to practice in New York (license number 336836) 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 1487058145.

Contact Information

Gwendolyn Moore, NP
750 E Adams St,
Syracuse, NY 13210-2306
(315) 474-1561
Not Available

Map and Direction




Provider's Profile

Full NameGwendolyn Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location750 E Adams St, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487058145
  • Provider Enumeration Date: 10/09/2014
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355563925
  • Enrollment ID: I20141114001358

Medical Identifiers

Medical identifiers for Gwendolyn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487058145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 336836 (New York)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. Gwendolyn Moore allows following entities to bill medicare on her behalf.
Entity NameDepartment Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameNewark Wayne Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770671182
PECOS PAC ID: 0446154199
Enrollment ID: O20031212000722
Entity NameSyracuse Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497796353
PECOS PAC ID: 0143121327
Enrollment ID: O20040120000443
Entity NameMedical Director Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20160621000218
Entity NamePatient First Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255067955
PECOS PAC ID: 0042687006
Enrollment ID: O20221103001230

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. Gwendolyn 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 AddressPractice Location Address
Gwendolyn Moore, NP
Upstate University Hospital, 750 E Adams St,
Syracuse, NY 13210

Ph: (315) 464-5540		Gwendolyn Moore, NP
750 E Adams St,
Syracuse, NY 13210-2306

Ph: (315) 474-1561

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.