Mrs Andrea L Mouldon, PNP in Saint Louis, MO - Medicare Nurse Practitioner

Mrs Andrea L Mouldon, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Saint Louis, Missouri. Her current practice location is 3737 N Kingshighway Blvd, Ste 209, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 261-5250.

Mrs Andrea L Mouldon is licensed to practice in Missouri (license number 2010016423) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942508783.

Contact Information

	Mrs Andrea L Mouldon, PNP
	3737 N Kingshighway Blvd, Ste 209, Saint Louis, MO 63115-1736
	(314) 261-5250
	(314) 261-4567

Map and Direction

Provider's Profile

Full Name	Mrs Andrea L Mouldon
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3737 N Kingshighway Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942508783
Provider Enumeration Date: 03/02/2011
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5698054237
Enrollment ID: I20161122001479

Medical Identifiers

Medical identifiers for Mrs Andrea L Mouldon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942508783	NPI	-	NPPES
429600703	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	2010016423 (Missouri)	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. Mrs Andrea L Mouldon allows following entities to bill medicare on her behalf.

Entity Name	Wuca-nash Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164882775 PECOS PAC ID: 5193004828 Enrollment ID: O20161121000096

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 Andrea L Mouldon 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 Andrea L Mouldon, PNP Po Box 505449, Saint Louis, MO 63150-5449 Ph: (314) 261-5250	Mrs Andrea L Mouldon, PNP 3737 N Kingshighway Blvd, Ste 209, Saint Louis, MO 63115-1736 Ph: (314) 261-5250

Reviews and Comments

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Mrs Andrea L Mouldon, PNP - Medicare Nurse Practitioner in Saint Louis, MO