Katie Scianna Moore, CPNP-PC in Hattiesburg, MS

Katie Scianna Moore, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hattiesburg, Mississippi. Her current practice location is 4210 Lincoln Rd, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-3500.

Katie Scianna Moore is licensed to practice in Mississippi (license number 903811) 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 1821697210.

Contact Information

	Katie Scianna Moore, CPNP-PC
	4210 Lincoln Rd, Hattiesburg, MS 39402-3093
	(601) 261-3500
	(601) 261-3583

Map and Direction

Provider's Profile

Full Name	Katie Scianna Moore
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4210 Lincoln Rd, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821697210
Provider Enumeration Date: 10/19/2020
Last Update Date: 10/19/2020

Medicare PECOS Information:

PECOS PAC ID: 6901217207
Enrollment ID: I20201117002051

Medical Identifiers

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

Identifier	Type	State	Issuer
1821697210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	903811 (Mississippi)	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 Scianna Moore allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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 Scianna 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
Katie Scianna Moore, CPNP-PC 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3500	Katie Scianna Moore, CPNP-PC 4210 Lincoln Rd, Hattiesburg, MS 39402-3093 Ph: (601) 261-3500

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Katie Scianna Moore, CPNP-PC - Medicare Nurse Practitioner in Hattiesburg, MS