Kennan Ashton Moore, FNP in Fort Smith, AR - Medicare Nurse Practitioner

Kennan Ashton Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Smith, Arkansas. Her current practice location is 3117 S 70th St, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 785-9400.

Kennan Ashton Moore is licensed to practice in Arkansas (license number A005133) 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 1518496660.

Contact Information

	Kennan Ashton Moore, FNP
	3117 S 70th St, Fort Smith, AR 72903-5017
	(479) 785-9400
	(479) 478-6793

Map and Direction

Provider's Profile

Full Name	Kennan Ashton Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3117 S 70th St, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518496660
Provider Enumeration Date: 06/11/2017
Last Update Date: 03/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9234405234
Enrollment ID: I20171018003126

Medical Identifiers

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

Identifier	Type	State	Issuer
1518496660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005133 (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. Kennan Ashton Moore allows following entities to bill medicare on her behalf.

Entity Name	Western Arkansas Counseling & Guidance Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595

Entity Name	Quyen Ha M.d. Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205063658 PECOS PAC ID: 1153473400 Enrollment ID: O20131218001811

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. Kennan Ashton 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
Kennan Ashton Moore, FNP Po Box 11818, Fort Smith, AR 72917-1818 Ph: (479) 452-6650	Kennan Ashton Moore, FNP 3117 S 70th St, Fort Smith, AR 72903-5017 Ph: (479) 785-9400

Reviews and Comments

Nurse Practitioner Nurses in Fort Smith, AR

Steven A. Wells, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600
Mandi T Williams, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000

Kennan Ashton Moore, FNP - Medicare Nurse Practitioner in Fort Smith, AR