Jacqueline Susan Moe, APNP in Keshena, WI - Medicare Nurse Practitioner

Jacqueline Susan Moe, APNP is a medicare enrolled "Nurse Practitioner - Family" in Keshena, Wisconsin. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Menominee Indian Tribe Of Wisconsin and her current practice location is W3275 Wolf River Dr, Keshena, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 799-3361.

Jacqueline Susan Moe is licensed to practice in Wisconsin (license number 2966-033) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902995251.

Contact Information

	Jacqueline Susan Moe, APNP
	W3275 Wolf River Dr, Keshena, WI 54135-9202
	(715) 799-3361
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Susan Moe
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	W3275 Wolf River Dr, Keshena, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Susan Moe graduated from nursing school in 2006

NPI Data:

NPI Number: 1902995251
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/29/2020

Medicare PECOS Information:

PECOS PAC ID: 4385642081
Enrollment ID: I20061113000238

Medical Identifiers

Medical identifiers for Jacqueline Susan Moe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902995251	NPI	-	NPPES
36015400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2966-033 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	2966-033 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Thedacare Medical Center - Shawano	Shawano, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Menominee Indian Tribe Of Wisconsin	2668459264	24

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. Jacqueline Susan Moe allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Entity Name	Menominee Indian Tribe Of Wisconsin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568404721 PECOS PAC ID: 2668459264 Enrollment ID: O20040701000838

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. Jacqueline Susan Moe 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
Jacqueline Susan Moe, APNP Po Box 970, Keshena, WI 54135-0970 Ph: (715) 799-3361	Jacqueline Susan Moe, APNP W3275 Wolf River Dr, Keshena, WI 54135-9202 Ph: (715) 799-3361

Reviews and Comments

Nurse Practitioner Nurses in Keshena, WI

Sue C Weso, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099
Sarah Harkey, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361
Stephanie Diane Hurda, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-304-9830
Elizabeth A Radtke-petri, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099

Jacqueline Susan Moe, APNP - Medicare Nurse Practitioner in Keshena, WI