Jill M Moore, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Vassar, Michigan. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ascension St. Mary's Hospital and her current practice location is
1212 W Saginaw Rd, Vassar, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 823-5020.
Jill M Moore is licensed to practice in Michigan (license number 4704173083) 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 1104811215.
Provider's Profile
| Full Name | Jill M Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 22 Years |
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| Location | 1212 W Saginaw Rd, Vassar, Michigan |
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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:
- Jill M Moore graduated from nursing school in 2002
NPI Data:
- NPI Number: 1104811215
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 04/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486609203
- Enrollment ID: I20050315000389
Medical Identifiers
Medical identifiers for Jill M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104811215 | NPI | - | NPPES |
| M10200335 | Other | MI | TRICARE |
| 150533 | Other | MI | MEDICAID-GREATLAKES |
| 0877585 | Other | MI | BCBSMI |
| 4708328 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704173083 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ascension St. Mary's Hospital | 6305737156 | 86 |
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. Jill M Moore allows following entities to bill medicare on her behalf.
| Entity Name | Ascension St. Mary's Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326658154
PECOS PAC ID: 6305737156
Enrollment ID: O20040326000404 |
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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. Jill M 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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Jill M Moore, FNP-BC
Po Box 779,
Tawas City, MI 48764-0779
Ph: (855) 298-9888 | Jill M Moore, FNP-BC
1212 W Saginaw Rd,
Vassar, MI 48768-9483
Ph: (989) 823-5020 |
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