Mary Ann Moore, in Phoenix, AZ - Medicare Nurse Practitioner

Mary Ann Moore, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. Her current practice location is 40 E Mitchell Dr, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 264-4331.

Mary Ann Moore is licensed to practice in Arizona (license number 292594) 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 1457044653.

Contact Information

	Mary Ann Moore,
	40 E Mitchell Dr, Phoenix, AZ 85012-2330
	(602) 264-4331
	(602) 264-4095

Map and Direction

Provider's Profile

Full Name	Mary Ann Moore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	40 E Mitchell Dr, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457044653
Provider Enumeration Date: 06/01/2023
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1951765031
Enrollment ID: I20230907002032

Medical Identifiers

Medical identifiers for Mary Ann Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457044653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	292594 (Arizona)	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. Mary Ann Moore allows following entities to bill medicare on her behalf.

Entity Name	Lifewell Behavioral Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417050337 PECOS PAC ID: 4981641818 Enrollment ID: O20050412001535

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. Mary Ann 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
Mary Ann Moore, 202 E Earll Dr Ste 200, Phoenix, AZ 85012-2647 Ph: (602) 808-2800	Mary Ann Moore, 40 E Mitchell Dr, Phoenix, AZ 85012-2330 Ph: (602) 264-4331

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Mary Ann Moore, - Medicare Nurse Practitioner in Phoenix, AZ