John Kendell Moore, FNP-C in Lubbock, TX - Medicare Nurse Practitioner

John Kendell Moore, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. His current practice location is 602 Indiana Ave, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 775-8607.

John Kendell Moore is licensed to practice in Texas (license number AP121142) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770922403.

Contact Information

	John Kendell Moore, FNP-C
	602 Indiana Ave, Lubbock, TX 79415-3364
	(806) 775-8607
	(806) 775-8611

Map and Direction

Provider's Profile

Full Name	John Kendell Moore
Gender	Male
Speciality	Nurse Practitioner - Family
Location	602 Indiana Ave, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770922403
Provider Enumeration Date: 06/16/2013
Last Update Date: 07/21/2024

Medicare PECOS Information:

PECOS PAC ID: 3577790559
Enrollment ID: I20131219000237

Medical Identifiers

Medical identifiers for John Kendell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770922403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	723176 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP121142 (Texas)	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. John Kendell Moore allows following entities to bill medicare on his behalf.

Entity Name	Lubbock County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487993630 PECOS PAC ID: 6709028954 Enrollment ID: O20130819000007

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. John Kendell 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
John Kendell Moore, FNP-C Po Box 5980, Lubbock, TX 79408-5980 Ph: (806) 775-9700	John Kendell Moore, FNP-C 602 Indiana Ave, Lubbock, TX 79415-3364 Ph: (806) 775-8607

Reviews and Comments

Nurse Practitioner Nurses in Lubbock, TX

Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588
Gay Ann Tibbets, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1902 50th St, Lubbock, TX 79412 Phone: 806-771-1386 Fax: 806-771-1388
Kevin Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St Ste 440, Lubbock, TX 79415 Phone: 806-761-0535 Fax: 806-761-0534
Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Quaker Ave Fl 1, Lubbock, TX 79424 Phone: 806-788-3306 Fax: 806-772-3861
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880

John Kendell Moore, FNP-C - Medicare Nurse Practitioner in Lubbock, TX