Kelly Moore, CRNA in Richmond, VA - Medicare Nurse Anesthetist, Certified Registered

Kelly Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Richmond, Virginia. Her current practice location is 7101 Jahnke Rd, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 483-0000.

Kelly Moore is licensed to practice in Virginia (license number 0024186301) 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 1851048383.

Contact Information

	Kelly Moore, CRNA
	7101 Jahnke Rd, Richmond, VA 23225-4017
	(804) 483-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Moore
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	7101 Jahnke Rd, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851048383
Provider Enumeration Date: 03/04/2022
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7416321179
Enrollment ID: I20230320001268

Medical Identifiers

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

Identifier	Type	State	Issuer
1851048383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001251579 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024186301 (Virginia)	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. Kelly Moore allows following entities to bill medicare on her behalf.

Entity Name	Dogwood Anesthesia Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982329900 PECOS PAC ID: 2769853084 Enrollment ID: O20230125000989

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. Kelly 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
Kelly Moore, CRNA 2555 Providence Creek Rd, North Chesterfield, VA 23236-5234 Ph: (610) 213-5094	Kelly Moore, CRNA 7101 Jahnke Rd, Richmond, VA 23225-4017 Ph: (804) 483-0000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Richmond, VA

Janine L Gibbons, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226 Phone: 804-288-6258 Fax: 804-282-9921
Karen L Hague, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-289-4937
Lisa Broaddus Ziegler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5801 Bremo Rd, Richmond, VA 23226 Phone: 804-285-2011
Caleb Lesch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226 Phone: 804-673-1038
Michael R. Mercer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Dept. Of Anesthesiology/crna, Richmond, VA 23298 Phone: 804-628-6990 Fax: 804-628-6932
Diana Marcela Rodriguez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-300-0757
Eric J Miller, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 E Leigh St, Richmond, VA 23298 Phone: 804-828-7247

Kelly Moore, CRNA - Medicare Nurse Anesthetist, Certified Registered in Richmond, VA