Karley Brooke Moore, in Manila, AR - Medicare Nurse Practitioner

Karley Brooke Moore, is a medicare enrolled "Nurse Practitioner - Family" in Manila, Arkansas. 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 T W Wagner Inc and her current practice location is 3644 W State Highway 18, Manila, Arkansas. You can reach out to her office (for appointments etc.) via phone at (708) 561-3300.

Karley Brooke Moore is licensed to practice in Arkansas (license number 212805) 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 1114520491.

Contact Information

	Karley Brooke Moore,
	3644 W State Highway 18, Manila, AR 72442-8049
	(708) 561-3300
	(870) 561-3307

Map and Direction

Provider's Profile

Full Name	Karley Brooke Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3644 W State Highway 18, Manila, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Karley Brooke Moore graduated from nursing school in 2020

NPI Data:

NPI Number: 1114520491
Provider Enumeration Date: 11/18/2020
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6103228291
Enrollment ID: I20210712004087

Medical Identifiers

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

Identifier	Type	State	Issuer
1114520491	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	212805 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Bernards Medical Center	Jonesboro, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
T W Wagner Inc	1153359096	6

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. Karley Brooke Moore allows following entities to bill medicare on her behalf.

Entity Name	T W Wagner Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720183031 PECOS PAC ID: 1153359096 Enrollment ID: O20050830000950

Entity Name	Mississippi County Hospital System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164720868 PECOS PAC ID: 9739230723 Enrollment ID: O20110819000139

Entity Name	St Bernards Physician Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875

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. Karley Brooke 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
Karley Brooke Moore, 624 Lanes Way, Manila, AR 72442-9136 Ph: (870) 740-9800	Karley Brooke Moore, 3644 W State Highway 18, Manila, AR 72442-8049 Ph: (708) 561-3300

Reviews and Comments

Nurse Practitioner Nurses in Manila, AR

Kristy Lynn Wilson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3364 W Hwy 18, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307
Lacey Poe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307
Angie D Hicks-master, ANP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 920 East Medical Drive, Manila, AR 72442 Phone: 810-570-0358 Fax: 870-570-0359
Morgan Bliss Noble, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 Hwy 18 Bypass Ste. B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307
Allison Nicole Hitt, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W Hwy 18, Manila, AR 72442 Phone: 870-974-1110
Danna Scott Deaton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307

Karley Brooke Moore, - Medicare Nurse Practitioner in Manila, AR