Mr Matt Gabriel Moran, NP in Yucca Valley, CA

Mr Matt Gabriel Moran, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Yucca Valley, California. His current practice location is 57370 29 Palms Hwy Ste 201, Yucca Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 369-0069.

Mr Matt Gabriel Moran is licensed to practice in California (license number NP19574) 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 Matt Gabriel Moran, NP
	57370 29 Palms Hwy Ste 201, Yucca Valley, CA 92284-2900
	(760) 369-0069
	(763) 369-1702

Map and Direction

Provider's Profile

Full Name	Mr Matt Gabriel Moran
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	57370 29 Palms Hwy Ste 201, Yucca Valley, 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: 03/03/2026

Medicare PECOS Information:

PECOS PAC ID: 6800079815
Enrollment ID: I20110330000058

Medical Identifiers

Medical identifiers for Mr Matt 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
363LA2200X	Nurse Practitioner - Adult Health	NP19574 (California)	Primary
363LP2300X	Nurse Practitioner - Primary Care	NP19574 (California)	Secondary

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 Matt 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 Matt 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 Matt Gabriel Moran, NP 20 Lombardy Ln, Banning, CA 92220-1912 Ph: (760) 369-0069	Mr Matt Gabriel Moran, NP 57370 29 Palms Hwy Ste 201, Yucca Valley, CA 92284-2900 Ph: (760) 369-0069

Reviews and Comments

Nurse Practitioner Nurses in Yucca Valley, CA

Tina Michelle Huff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 58383 29 Palms Hwy Ste 101, Yucca Valley, CA 92284 Phone: 760-820-9229
Ms. De Anna Marie Taylor, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 56612 Kismet Rd, Yucca Valley, CA 92284 Phone: 760-821-3981
Mr. Jesus Arechiga Gamboa, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6233 Pioneertown Road, Yucca Valley, CA 92284 Phone: 760-774-2739
Jasdeep Kaur, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6530 La Contenta Rd Ste 100, Yucca Valley, CA 92284 Phone: 760-820-9229 Fax: 760-820-9228
Lynna R. Young, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55585 29 Palms Hwy, Yucca Valley, CA 92284 Phone: 760-228-3366 Fax: 760-228-3369
Katie Z Topper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 Phone: 760-228-1800

Mr Matt Gabriel Moran, NP - Medicare Nurse Practitioner in Yucca Valley, CA