Kimberly Wells Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Mount Olivet, Kentucky. Her current practice location is
1030 Kentontown Rd, Mount Olivet, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 724-5020.
Kimberly Wells Moore is licensed to practice in New Jersey (license number 26NJ01212500) 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 1013518661.
Provider's Profile
| Full Name | Kimberly Wells Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1030 Kentontown Rd, Mount Olivet, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013518661
- Provider Enumeration Date: 11/02/2020
- Last Update Date: 11/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779016019
- Enrollment ID: I20241025000434
Medical Identifiers
Medical identifiers for Kimberly Wells Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013518661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3014345 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1099445 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ01212500 (New Jersey) | 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. Kimberly Wells Moore allows following entities to bill medicare on her behalf.
| Entity Name | Caremed Health Solutions Of Kentucky, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326789462
PECOS PAC ID: 4880071299
Enrollment ID: O20220524000769 |
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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. Kimberly Wells 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 |
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Kimberly Wells Moore, NP
Po Box 341,
Mount Olivet, KY 41064-0341
Ph: (606) 842-0258 | Kimberly Wells Moore, NP
1030 Kentontown Rd,
Mount Olivet, KY 41064-7649
Ph: (606) 724-5020 |
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