Mr Matthew Gabriel Moran, NP in Palm Springs, CA

Mr Matthew Gabriel Moran, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Palm Springs, California. His current practice location is 555 E Tachevah Dr Ste 1e201, Palm Springs, California. You can reach out to his office (for appointments etc.) via phone at (760) 299-6487.

Mr Matthew Gabriel Moran is licensed to practice in California (license number 19574) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043525587.

Contact Information

	Mr Matthew Gabriel Moran, NP
	555 E Tachevah Dr Ste 1e201, Palm Springs, CA 92262-5733
	(760) 299-6487
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Matthew Gabriel Moran
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	555 E Tachevah Dr Ste 1e201, Palm Springs, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043525587
Provider Enumeration Date: 08/09/2010
Last Update Date: 05/17/2022

Medicare PECOS Information:

PECOS PAC ID: 6800079815
Enrollment ID: I20110330000058

Medical Identifiers

Medical identifiers for Mr Matthew Gabriel Moran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043525587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	19574 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	19574 (California)	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. Mr Matthew Gabriel Moran allows following entities to bill medicare on his behalf.

Entity Name	Yucca Valley Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952186322 PECOS PAC ID: 0941647564 Enrollment ID: O20240319001447

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. Mr Matthew Gabriel Moran 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
Mr Matthew Gabriel Moran, NP 20 Lombardy Ln, Banning, CA 92220-1912 Ph: (562) 478-0081	Mr Matthew Gabriel Moran, NP 555 E Tachevah Dr Ste 1e201, Palm Springs, CA 92262-5733 Ph: (760) 299-6487

Reviews and Comments

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Mr Matthew Gabriel Moran, NP - Medicare Nurse Practitioner in Palm Springs, CA