Katie Lynn Pernot-moyer, CRNP in Scranton, PA

Katie Lynn Pernot-moyer, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Scranton, Pennsylvania. Her current practice location is 1371 N Washington Ave, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 963-6639.

Katie Lynn Pernot-moyer is licensed to practice in Pennsylvania (license number SP028097) 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 1114707882.

Contact Information

	Katie Lynn Pernot-moyer, CRNP
	1371 N Washington Ave, Scranton, PA 18509-2840
	(570) 963-6639
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Lynn Pernot-moyer
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1371 N Washington Ave, Scranton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114707882
Provider Enumeration Date: 10/02/2023
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7719426162
Enrollment ID: I20240829000084

Medical Identifiers

Medical identifiers for Katie Lynn Pernot-moyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114707882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	SP028097 (Pennsylvania)	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. Katie Lynn Pernot-moyer allows following entities to bill medicare on her behalf.

Entity Name	Rural Health Corporation Of Northeastern Pennsylvania
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265801112 PECOS PAC ID: 1052362662 Enrollment ID: O20050201000488

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. Katie Lynn Pernot-moyer 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
Katie Lynn Pernot-moyer, CRNP 170 Center St, Dupont, PA 18641-1430 Ph: (570) 479-0877	Katie Lynn Pernot-moyer, CRNP 1371 N Washington Ave, Scranton, PA 18509-2840 Ph: (570) 963-6639

Reviews and Comments

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Katie Lynn Pernot-moyer, CRNP - Medicare Nurse Practitioner in Scranton, PA