John Wayne Moore, CRNP is a medicare enrolled "Nurse Practitioner" in Valley Head, Alabama. He graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
136 Commerce Ave, Valley Head, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 674-1052.
John Wayne Moore is licensed to practice in Alabama (license number 1-087639) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518200864.
Provider's Profile
| Full Name | John Wayne Moore |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 136 Commerce Ave, Valley Head, Alabama |
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| Accepts Medicare Assignments | Yes. He 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:
- John Wayne Moore graduated from nursing school in 2012
NPI Data:
- NPI Number: 1518200864
- Provider Enumeration Date: 04/04/2013
- Last Update Date: 04/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971746298
- Enrollment ID: I20130905000147
Medical Identifiers
Medical identifiers for John Wayne Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518200864 | NPI | - | NPPES |
| 1-087639 | Other | AL | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 1-087639 (Alabama) | 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 Wayne Moore allows following entities to bill medicare on his behalf.
| Entity Name | North Dekalb Primary Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851898449
PECOS PAC ID: 1153652011
Enrollment ID: O20191008002800 |
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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. John Wayne 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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John Wayne Moore, CRNP
136 Commerce Ave,
Valley Head, AL 35989-2421
Ph: (256) 674-1052 | John Wayne Moore, CRNP
136 Commerce Ave,
Valley Head, AL 35989-2421
Ph: (256) 674-1052 |
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