Mrs Alicia Brooke Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fraser, MI

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Mrs Alicia Brooke Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fraser, Michigan. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Kuldip S Deogun Md Pc, Eastern District Anesthesiology Pllc, Henry Ford Macomb Hospital Corporation and her current practice location is 16152 Windham, Fraser, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 242-9562.

Mrs Alicia Brooke Moore is licensed to practice in Michigan (license number 4704210341) 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 1144599523.

Contact Information

Mrs Alicia Brooke Moore, CRNA
16152 Windham,
Fraser, MI 48026-2042
(586) 242-9562
Not Available

Map and Direction




Provider's Profile

Full NameMrs Alicia Brooke Moore
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location16152 Windham, Fraser, Michigan
Accepts Medicare AssignmentsYes. 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 Alicia Brooke Moore graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1144599523
  • Provider Enumeration Date: 12/14/2011
  • Last Update Date: 09/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951569110
  • Enrollment ID: I20120220001112

Medical Identifiers

Medical identifiers for Mrs Alicia Brooke Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144599523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704210341 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 4704210341 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford Macomb HospitalClinton township, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kuldip S Deogun Md Pc36785809666
Eastern District Anesthesiology Pllc650719541932
Henry Ford Macomb Hospital Corporation7911808381285

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 Alicia Brooke Moore allows following entities to bill medicare on her behalf.
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598896995
PECOS PAC ID: 3173424082
Enrollment ID: O20040130000407
Entity NameMacomb Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639248206
PECOS PAC ID: 2860486388
Enrollment ID: O20040408001058
Entity NameHenry Ford Macomb Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528130739
PECOS PAC ID: 7911808381
Enrollment ID: O20040522000104
Entity NameKuldip S Deogun Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548207467
PECOS PAC ID: 3678580966
Enrollment ID: O20060310000544
Entity NameEastern District Anesthesiology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396397741
PECOS PAC ID: 6507195419
Enrollment ID: O20190830002837
Entity NameDetroit Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225607393
PECOS PAC ID: 4880098946
Enrollment ID: O20210811002351

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 Alicia Brooke 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 AddressPractice Location Address
Mrs Alicia Brooke Moore, CRNA
16152 Windham,
Fraser, MI 48026-2042

Ph: (586) 242-9562		Mrs Alicia Brooke Moore, CRNA
16152 Windham,
Fraser, MI 48026-2042

Ph: (586) 242-9562

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fraser, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.