Lonna Moore, FNP is a medicare enrolled "Nurse Practitioner" in Ona, West Virginia. Her current practice location is
2300 Us Route 60, Ona, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 743-7495.
Lonna Moore is licensed to practice in West Virginia (license number 78371) 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 1386993699.
Provider's Profile
| Full Name | Lonna Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2300 Us Route 60, Ona, West Virginia |
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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: 1386993699
- Provider Enumeration Date: 08/31/2012
- Last Update Date: 11/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 0446408074
- Enrollment ID: I20121004000470
Medical Identifiers
Medical identifiers for Lonna Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386993699 | NPI | - | NPPES |
| 3810026823 | Medicaid | WV | |
| 7100345510 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 3007615 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 78371 (West Virginia) | 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. Lonna Moore allows following entities to bill medicare on her behalf.
| Entity Name | Valley Health Systems, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194790022
PECOS PAC ID: 9931017969
Enrollment ID: O20131009001233 |
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| Entity Name | Valley Health Systems, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013577303
PECOS PAC ID: 9931017969
Enrollment ID: O20200407002573 |
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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. Lonna 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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Lonna Moore, FNP
2585 3rd Ave,
Huntington, WV 25703-1642
Ph: (304) 697-1396 | Lonna Moore, FNP
2300 Us Route 60,
Ona, WV 25545-9712
Ph: (304) 743-7495 |
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