Kimbra Lee Moore, in Lima, OH - Medicare Nurse Practitioner

Kimbra Lee Moore, is a medicare enrolled "Nurse Practitioner - Gerontology" in Lima, Ohio. Her current practice location is 128 S Westwood Dr, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 231-5351.

Kimbra Lee Moore is licensed to practice in Ohio (license number APRN.CNP.020726) 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 1992212211.

Contact Information

	Kimbra Lee Moore,
	128 S Westwood Dr, Lima, OH 45805-2634
	(419) 231-5351
	(419) 302-1481

Map and Direction

Provider's Profile

Full Name	Kimbra Lee Moore
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	128 S Westwood Dr, Lima, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992212211
Provider Enumeration Date: 01/08/2018
Last Update Date: 01/08/2018

Medicare PECOS Information:

PECOS PAC ID: 5294072005
Enrollment ID: I20190131001571

Medical Identifiers

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

Identifier	Type	State	Issuer
1992212211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	APRN.CNP.020726 (Ohio)	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. Kimbra Lee Moore allows following entities to bill medicare on her behalf.

Entity Name	Northwest Ohio Obgyn Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154468809 PECOS PAC ID: 7517929284 Enrollment ID: O20041103001328

Entity Name	Caremed Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669123949 PECOS PAC ID: 0547653610 Enrollment ID: O20220214000722

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. Kimbra Lee 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
Kimbra Lee Moore, 128 S Westwood Dr, Lima, OH 45805-2634 Ph: (419) 231-5351	Kimbra Lee Moore, 128 S Westwood Dr, Lima, OH 45805-2634 Ph: (419) 231-5351

Reviews and Comments

Nurse Practitioner Nurses in Lima, OH

Stacy Jo Klass, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804 Phone: 419-227-5298 Fax: 419-227-5879
Jocelyn Leigh Sherman, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 245, Lima, OH 45804 Phone: 419-998-8230
Logan Michael Rieman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015
Holly A Archer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2195 Allentown Rd, Lima, OH 45805 Phone: 419-227-2245 Fax: 419-229-1573
Cassandra Baumgartner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E 8th St, Lima, OH 45804 Phone: 419-221-3072
Jessica A Dailey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 N Cable Rd, Lima, OH 45805 Phone: 419-228-2600 Fax: 419-228-1100
Mrs. Ruth Ann Grothouse, C-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 W High St, Suite 300, Lima, OH 45801 Phone: 419-229-6781 Fax: 419-229-3490

Kimbra Lee Moore, - Medicare Nurse Practitioner in Lima, OH