Jamie Rachel Moore, is a medicare enrolled "Anesthesiology" in Huntington Station, New York. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New York University and her current practice location is
180 E Pulaski Rd, Huntington Station, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 425-2121.
Jamie Rachel Moore is licensed to practice in New York (license number 309740) 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 1801419528.
Provider's Profile
| Full Name | Jamie Rachel Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 180 E Pulaski Rd, Huntington Station, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jamie Rachel Moore graduated from nursing school in 2020
NPI Data:
- NPI Number: 1801419528
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981015591
- Enrollment ID: I20201202001579
Medical Identifiers
Medical identifiers for Jamie Rachel Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801419528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 650434 (New York) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | F309740 (New York) | Secondary |
| 207L00000X | Anesthesiology | 309740 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| New York University | 1355232422 | 4495 |
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. Jamie Rachel Moore allows following entities to bill medicare on her behalf.
| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20081202000185 |
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| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026 |
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| Entity Name | Long Island Physician Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871906941
PECOS PAC ID: 9032436415
Enrollment ID: O20150324000458 |
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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. Jamie Rachel 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 |
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Jamie Rachel Moore,
18 Whitson Rd,
Huntington Station, NY 11746-2647
Ph: (631) 525-6487 | Jamie Rachel Moore,
180 E Pulaski Rd,
Huntington Station, NY 11746-1915
Ph: (631) 425-2121 |
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