Mrs Lisa Marcella Moore, CNP in Winchester, IN

Mrs Lisa Marcella Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Winchester, Indiana. She went to University Of Cincinnati College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Vincent Medical Group Inc and her current practice location is 409 Se Greenville Ave, Winchester, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 584-0480.

Mrs Lisa Marcella Moore is licensed to practice in Indiana (license number 71008271A) 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 1336643410.

Contact Information

	Mrs Lisa Marcella Moore, CNP
	409 Se Greenville Ave, Winchester, IN 47394-9464
	(765) 584-0480
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Marcella Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	409 Se Greenville Ave, Winchester, Indiana
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:

Mrs Lisa Marcella Moore attended and graduated from University Of Cincinnati College Of Medicine in 2017

NPI Data:

NPI Number: 1336643410
Provider Enumeration Date: 03/22/2018
Last Update Date: 07/26/2022

Medicare PECOS Information:

PECOS PAC ID: 9830445469
Enrollment ID: I20181120002401

Medical Identifiers

Medical identifiers for Mrs Lisa Marcella Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336643410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.022576 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	71008271A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent Randolph	Winchester, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Medical Group Inc	7012047640	626

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. Mrs Lisa Marcella Moore allows following entities to bill medicare on her behalf.

Entity Name	Meridian Health Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531

Entity Name	St Vincent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045

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. Mrs Lisa Marcella 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
Mrs Lisa Marcella Moore, CNP 409 Se Greenville Ave, Winchester, IN 47394-9464 Ph: () -	Mrs Lisa Marcella Moore, CNP 409 Se Greenville Ave, Winchester, IN 47394-9464 Ph: (765) 584-0480

Reviews and Comments

Nurse Practitioner Nurses in Winchester, IN

Pauletta J Hummel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 473 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0240
Amanda K Clevenger, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480
Kelly J Campbell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Suite 300, Winchester, IN 47394 Phone: 765-584-0480
Alice Pauline Watkins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 E Hospital Dr, Winchester, IN 47394 Phone: 765-584-1639 Fax: 765-584-4711
Katherine Jean Wadsworth, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 Se Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480
Samantha M Morris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480

Mrs Lisa Marcella Moore, CNP - Medicare Nurse Practitioner in Winchester, IN