Katy Ann Moss, in De Queen, AR - Medicare Nurse Practitioner

Katy Ann Moss, is a medicare enrolled "Nurse Practitioner - Family" in De Queen, Arkansas. Her current practice location is 500 E Collin Raye Dr, De Queen, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 584-1053.

Katy Ann Moss is licensed to practice in Arkansas (license number 122438) 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 1972105054.

Contact Information

	Katy Ann Moss,
	500 E Collin Raye Dr, De Queen, AR 71832-8048
	(870) 584-1053
	(870) 584-2087

Map and Direction

Provider's Profile

Full Name	Katy Ann Moss
Gender	Female
Speciality	Nurse Practitioner - Family
Location	500 E Collin Raye Dr, De Queen, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972105054
Provider Enumeration Date: 11/12/2020
Last Update Date: 02/27/2021

Medicare PECOS Information:

PECOS PAC ID: 6800202839
Enrollment ID: I20210317000103

Medical Identifiers

Medical identifiers for Katy Ann Moss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972105054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	122438 (Arkansas)	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. Katy Ann Moss allows following entities to bill medicare on her behalf.

Entity Name	Midsouth Transitions Arkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003427873 PECOS PAC ID: 1153731005 Enrollment ID: O20201103002747

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. Katy Ann Moss 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
Katy Ann Moss, 500 E Collin Raye Dr, De Queen, AR 71832-8048 Ph: (870) 584-1053	Katy Ann Moss, 500 E Collin Raye Dr, De Queen, AR 71832-8048 Ph: (870) 584-1053

Reviews and Comments

Nurse Practitioner Nurses in De Queen, AR

Bonita Lois Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 E Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-1055
John Robert Dean Bailey, APRN-CNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-518-0018 Fax: 870-627-3532
Samantha Kay Davis, MSN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1553 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3000
Kara Lynn Osuna, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1553 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3000 Fax: 870-584-3003
Meaghan Elana Harder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1553 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3000 Fax: 870-584-3003
Autumn Dawn Morales, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 E Collin Raye Dr, De Queen, AR 71832 Phone: 870-557-7362
Chevi Brooke Lynn Moore, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3627

Katy Ann Moss, - Medicare Nurse Practitioner in De Queen, AR