Katara Moore, is a medicare enrolled "Nurse Practitioner - Primary Care" in Hardaway, Alabama. Her current practice location is
1575 County Road 19, Hardaway, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 421-9981.
Katara Moore is licensed to practice in Alabama (license number 1-154109) 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 1023734662.
Provider's Profile
| Full Name | Katara Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 1575 County Road 19, Hardaway, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023734662
- Provider Enumeration Date: 10/17/2022
- Last Update Date: 10/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113398405
- Enrollment ID: I20230124003100
Medical Identifiers
Medical identifiers for Katara Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023734662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 1-154109 (Alabama) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 1-154109 (Alabama) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 1-154109 (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. Katara Moore allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210224000756 |
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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. Katara 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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Katara Moore,
1575 County Road 19,
Hardaway, AL 36039-2845
Ph: () - | Katara Moore,
1575 County Road 19,
Hardaway, AL 36039-2845
Ph: (334) 421-9981 |
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