Lavonne M Moore, RNC CNM in Minneapolis, MN - Medicare Nurse Practitioner

Lavonne M Moore, RNC CNM is a medicare enrolled "Nurse Practitioner" in Minneapolis, Minnesota. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hennepin County and her current practice location is 1313 Penn Avenue North, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 543-2500.

Lavonne M Moore is licensed to practice in Minnesota (license number R1138272) 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 1750348546.

Contact Information

	Lavonne M Moore, RNC CNM
	1313 Penn Avenue North, Minneapolis, MN 55441
	(612) 543-2500
	(612) 302-4870

Map and Direction

Provider's Profile

Full Name	Lavonne M Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	1313 Penn Avenue North, Minneapolis, Minnesota
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:

Lavonne M Moore graduated from nursing school in 2003

NPI Data:

NPI Number: 1750348546
Provider Enumeration Date: 04/27/2006
Last Update Date: 02/26/2013

Medicare PECOS Information:

PECOS PAC ID: 6901855717
Enrollment ID: I20050119000768

Medical Identifiers

Medical identifiers for Lavonne M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750348546	NPI	-	NPPES
702615300	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R1138272 (Minnesota)	Primary
367A00000X	Advanced Practice Midwife	R113827-2 (Minnesota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hennepin County Medical Center 1	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hennepin County	7911892849	89

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. Lavonne M Moore allows following entities to bill medicare on her behalf.

Entity Name	Hennepin County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780790345 PECOS PAC ID: 7911892849 Enrollment ID: O20040218001012

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. Lavonne M 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
Lavonne M Moore, RNC CNM 1313 Penn Avenue North, Minneapolis, MN 55441 Ph: (612) 543-2500	Lavonne M Moore, RNC CNM 1313 Penn Avenue North, Minneapolis, MN 55441 Ph: (612) 543-2500

Reviews and Comments

Nurse Practitioner Nurses in Minneapolis, MN

Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101
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Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Lavonne M Moore, RNC CNM - Medicare Nurse Practitioner in Minneapolis, MN