Kaitlyn Moore, in Hudson, WI - Medicare Nurse Practitioner

Kaitlyn Moore, is a medicare enrolled "Nurse Practitioner" in Hudson, Wisconsin. Her current practice location is 411 Stageline Rd Ste 200, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 531-6700.

Kaitlyn Moore is licensed to practice in Wisconsin (license number 14280-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568144392.

Contact Information

	Kaitlyn Moore,
	411 Stageline Rd Ste 200, Hudson, WI 54016-7848
	(715) 531-6700
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaitlyn Moore
Gender	Female
Speciality	Nurse Practitioner
Location	411 Stageline Rd Ste 200, Hudson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568144392
Provider Enumeration Date: 08/02/2023
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7719333186
Enrollment ID: I20231023000993

Medical Identifiers

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

Identifier	Type	State	Issuer
1568144392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	14280-33 (Wisconsin)	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. Kaitlyn Moore allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Kaitlyn 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
Kaitlyn Moore, 8327 Afton Rd, Woodbury, MN 55125-9656 Ph: (651) 373-6128	Kaitlyn Moore, 411 Stageline Rd Ste 200, Hudson, WI 54016-7848 Ph: (715) 531-6700

Reviews and Comments

Nurse Practitioner Nurses in Hudson, WI

Stacy A. Ayres, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Commerce Dr Ste 200, Hudson, WI 54016 Phone: 715-377-9617
Meghan Elizabeth Schulz, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801
Ramona N Nesse, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2310 Crest View Dr, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801
Laura Beeson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2651 Hillcrest Dr, Suite 303, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801
Marjorie Jean Belisle, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2651 Hillcrest Drive, Suite 303, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801
Liberty J Zyduck, RN, RD, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000
Christina Dittrich, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801

Kaitlyn Moore, - Medicare Nurse Practitioner in Hudson, WI