Kendra Larissa Moore, NP in Spruce Pine, NC - Medicare Nurse Practitioner

Kendra Larissa Moore, NP is a medicare enrolled "Nurse Practitioner" in Spruce Pine, North Carolina. Her current practice location is 189 Hospital Dr, Spruce Pine, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 766-3555.

Kendra Larissa Moore is licensed to practice in North Carolina (license number 5008316) 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 1538526058.

Contact Information

	Kendra Larissa Moore, NP
	189 Hospital Dr, Spruce Pine, NC 28777-3035
	(828) 766-3555
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendra Larissa Moore
Gender	Female
Speciality	Nurse Practitioner
Location	189 Hospital Dr, Spruce Pine, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538526058
Provider Enumeration Date: 01/28/2016
Last Update Date: 01/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8325345515
Enrollment ID: I20160404000642

Medical Identifiers

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

Identifier	Type	State	Issuer
1538526058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	5008316 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5008316 (North Carolina)	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. Kendra Larissa Moore allows following entities to bill medicare on her behalf.

Entity Name	The Mcdowell Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699772657 PECOS PAC ID: 2264343979 Enrollment ID: O20031107000487

Entity Name	Blue Ridge Regional Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447261698 PECOS PAC ID: 0648181966 Enrollment ID: O20040729001574

Entity Name	Uwh Of The Carolinas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639506470 PECOS PAC ID: 0042448169 Enrollment ID: O20140118000107

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. Kendra Larissa 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
Kendra Larissa Moore, NP Po Box 602373, Charlotte, NC 28260-2373 Ph: (828) 213-1500	Kendra Larissa Moore, NP 189 Hospital Dr, Spruce Pine, NC 28777-3035 Ph: (828) 766-3555

Reviews and Comments

Nurse Practitioner Nurses in Spruce Pine, NC

Tonya Robinson Bristle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 174 Summit Ave, Spruce Pine, NC 28777 Phone: 828-520-1572
Michelle Long, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11728 S 226 Hwy, Spruce Pine, NC 28777 Phone: 828-765-5672 Fax: 828-765-5676
Dr. Charles Bradley Quillen, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 189 Hospital Dr, Spruce Pine, NC 28777 Phone: 828-213-4444
Mrs. Patricia Susan Noser, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12348 South 226 Highway, Spruce Pine, NC 28777 Phone: 828-765-1044 Fax: 828-765-1042
Melinda Smith Fox, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 189 Hospital Dr Fl 1, Spruce Pine, NC 28777 Phone: 828-766-3555
Mrs. Cindy Blackwell Aldridge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11728 S 226 Hwy, Spruce Pine, NC 28777 Phone: 828-765-5672 Fax: 828-765-5676
Edward Jay Kauffman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Hospital Dr, Spruce Pine, NC 28777 Phone: 828-765-4201

Kendra Larissa Moore, NP - Medicare Nurse Practitioner in Spruce Pine, NC