Kevin Nelson Moore, PMHNP-BC, APRN in Bloomington, IN

Kevin Nelson Moore, PMHNP-BC, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bloomington, Indiana. His current practice location is 501 S Madison St Ste 105, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 340-5447.

Kevin Nelson Moore is licensed to practice in Indiana (license number 71008478A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710479753.

Contact Information

	Kevin Nelson Moore, PMHNP-BC, APRN
	501 S Madison St Ste 105, Bloomington, IN 47403-2452
	(812) 340-5447
	(888) 789-8394

Map and Direction

Provider's Profile

Full Name	Kevin Nelson Moore
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	501 S Madison St Ste 105, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710479753
Provider Enumeration Date: 06/05/2018
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 8426395336
Enrollment ID: I20190131000872

Medical Identifiers

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

Identifier	Type	State	Issuer
1710479753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71008478A (Indiana)	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. Kevin Nelson Moore allows following entities to bill medicare on his behalf.

Entity Name	Bloomington Meadows Gp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033298120 PECOS PAC ID: 6002707494 Enrollment ID: O20040324000255

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. Kevin Nelson 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
Kevin Nelson Moore, PMHNP-BC, APRN 501 S Madison St Ste 105, Bloomington, IN 47403-2452 Ph: (812) 340-5547	Kevin Nelson Moore, PMHNP-BC, APRN 501 S Madison St Ste 105, Bloomington, IN 47403-2452 Ph: (812) 340-5447

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IN

Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700
Nichole Hickman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604
Robert G Pursell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900

Kevin Nelson Moore, PMHNP-BC, APRN - Medicare Nurse Practitioner in Bloomington, IN