Ms Kristine K Moore, PNP in Saint Louis, MO - Medicare Nurse Practitioner

Ms Kristine K Moore, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Saint Louis, Missouri. Her current practice location is 1 Childrens Pl, Div Ped Emergency Med, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 454-2341.

Ms Kristine K Moore is licensed to practice in Missouri (license number 2012042575) 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 1801137732.

Contact Information

	Ms Kristine K Moore, PNP
	1 Childrens Pl, Div Ped Emergency Med, Saint Louis, MO 63110-1002
	(314) 454-2341
	(314) 454-4345

Map and Direction

Provider's Profile

Full Name	Ms Kristine K Moore
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1 Childrens Pl, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801137732
Provider Enumeration Date: 03/01/2013
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8325450109
Enrollment ID: I20231010003436

Medical Identifiers

Medical identifiers for Ms Kristine K Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801137732	NPI	-	NPPES
420061378	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	2012042575 (Missouri)	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. Ms Kristine K Moore allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287

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. Ms Kristine K 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
Ms Kristine K Moore, PNP Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 454-2341	Ms Kristine K Moore, PNP 1 Childrens Pl, Div Ped Emergency Med, Saint Louis, MO 63110-1002 Ph: (314) 454-2341

Reviews and Comments

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Ms Kristine K Moore, PNP - Medicare Nurse Practitioner in Saint Louis, MO