Dr Miguel Angel De La Mora, DNP, PMHNP in Moses Lake, WA

Dr Miguel Angel De La Mora, DNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Moses Lake, Washington. His current practice location is 1550 S Pioneer Way Ste 165, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 793-9780.

Dr Miguel Angel De La Mora is licensed to practice in Washington (license number AP61485710) 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 1821874462.

Contact Information

	Dr Miguel Angel De La Mora, DNP, PMHNP
	1550 S Pioneer Way Ste 165, Moses Lake, WA 98837-4637
	(509) 793-9780
	(509) 764-3246

Map and Direction

Provider's Profile

Full Name	Dr Miguel Angel De La Mora
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1550 S Pioneer Way Ste 165, Moses Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821874462
Provider Enumeration Date: 09/07/2023
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4486097151
Enrollment ID: I20240209000617

Medical Identifiers

Medical identifiers for Dr Miguel Angel De La Mora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821874462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61485710 (Washington)	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. Dr Miguel Angel De La Mora allows following entities to bill medicare on his behalf.

Entity Name	Grant County Public Hospital District 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602

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. Dr Miguel Angel De La Mora 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
Dr Miguel Angel De La Mora, DNP, PMHNP 1030 N Center Pkwy Ste 112, Kennewick, WA 99336-7160 Ph: (509) 910-4559	Dr Miguel Angel De La Mora, DNP, PMHNP 1550 S Pioneer Way Ste 165, Moses Lake, WA 98837-4637 Ph: (509) 793-9780

Reviews and Comments

Nurse Practitioner Nurses in Moses Lake, WA

Shawta Sackett, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-764-0344
Braeden R Cook, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711
Leona M Hays, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Coolidge Dr, Moses Lake, WA 98837 Phone: 509-765-0674
Charlene Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 Fax: 731-658-4079
Ms. Ioly Tabita Lewis, PMHNP/ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711
Sheryl A Russell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216
Kimberlee Elizabeth Poole, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837 Phone: 509-793-9787 Fax: 509-764-3263

Dr Miguel Angel De La Mora, DNP, PMHNP - Medicare Nurse Practitioner in Moses Lake, WA