Hannah Grace Moore, in Fulton, NY - Medicare Nurse Practitioner

Hannah Grace Moore, is a medicare enrolled "Nurse Practitioner - Family" in Fulton, New York. Her current practice location is 806 W Broadway, Fulton, New York. You can reach out to her office (for appointments etc.) via phone at (315) 297-4700.

Hannah Grace Moore is licensed to practice in New York (license number 350677) 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 1659081297.

Contact Information

	Hannah Grace Moore,
	806 W Broadway, Fulton, NY 13069-1571
	(315) 297-4700
	(315) 218-5898

Map and Direction

Provider's Profile

Full Name	Hannah Grace Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	806 W Broadway, Fulton, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659081297
Provider Enumeration Date: 12/05/2022
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8527424647
Enrollment ID: I20230516002030

Medical Identifiers

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

Identifier	Type	State	Issuer
1659081297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	350677 (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. Hannah Grace Moore allows following entities to bill medicare on her behalf.

Entity Name	Associated Medical Professionals Of Ny Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467659060 PECOS PAC ID: 0749378123 Enrollment ID: O20071119000351

Entity Name	Physician Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073868113 PECOS PAC ID: 9032367453 Enrollment ID: O20120910000593

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. Hannah Grace 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
Hannah Grace Moore, 100 Metropolitan Park Dr Ste 100, Liverpool, NY 13088-7112 Ph: (315) 870-9369	Hannah Grace Moore, 806 W Broadway, Fulton, NY 13069-1571 Ph: (315) 297-4700

Reviews and Comments

Nurse Practitioner Nurses in Fulton, NY

Mrs. Rebecca Dottolo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 S 4th St, Fulton, NY 13069 Phone: 315-592-3500
Samantha Goutermout, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 S 4th St, Fulton, NY 13069 Phone: 315-592-3930 Fax: 315-592-3932
Mrs. Cheryl Susan Martin-schroeder, M.S.N.,P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 63 S 1st St, Fulton, NY 13069 Phone: 315-598-6785 Fax: 315-592-3571
Shannon M Woods, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 98 N 2nd St, Fulton, NY 13069 Phone: 315-326-3555
Anthony Bryant, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 S 4th St Ste 600, Fulton, NY 13069 Phone: 315-598-4790 Fax: 315-593-6195
Mrs. Joanne Lomber, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 941 S 1st St, Fulton, NY 13069 Phone: 315-593-1729
Ms. Claire Ann Vacca, N,P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 N 2nd St, Fulton, NY 13069 Phone: 315-598-7105 Fax: 315-598-4857

Hannah Grace Moore, - Medicare Nurse Practitioner in Fulton, NY