Kristin Moudry, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Berry, Alabama. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fmc Medical Clinic - Fayette Llc, Fmc Medical Clinic Millport and her current practice location is
32 School Ave, Berry, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 689-0917.
Kristin Moudry is licensed to practice in Alabama (license number 1-122592) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720568363.
Provider's Profile
Full Name | Kristin Moudry |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 32 School Ave, Berry, Alabama |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kristin Moudry graduated from nursing school in 2018
NPI Data:
- NPI Number: 1720568363
- Provider Enumeration Date: 08/14/2018
- Last Update Date: 02/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002150711
- Enrollment ID: I20181206003578
Medical Identifiers
Medical identifiers for Kristin Moudry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720568363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1-122592 (Alabama) | Primary |
Medical Facilities Affiliation
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. Kristin Moudry allows following entities to bill medicare on her behalf.
Entity Name | Internal Medicine Associates Of Tuscaloosa, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225146004 PECOS PAC ID: 6800813957 Enrollment ID: O20051027000777 |
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Entity Name | Fmc Medical Clinic Millport |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063871184 PECOS PAC ID: 8820395809 Enrollment ID: O20160318002095 |
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Entity Name | Fmc Medical Clinic - Fayette Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588141063 PECOS PAC ID: 3375894041 Enrollment ID: O20180919000668 |
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Entity Name | Fmc Medical Clinic-berry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588376800 PECOS PAC ID: 5890167696 Enrollment ID: O20230203001180 |
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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. Kristin Moudry 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 |
Kristin Moudry, CRNP 100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300 Ph: (205) 349-4200 | Kristin Moudry, CRNP 32 School Ave, Berry, AL 35546-2246 Ph: (205) 689-0917 |
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