Mrs Carla A Etherton-moore, CRNP in Valley, AL

Mrs Carla A Etherton-moore, CRNP is a medicare enrolled "Nurse Practitioner" in Valley, Alabama. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Valley Area Primary Care Llc and her current practice location is 11 Medical Park, Valley, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 756-4860.

Mrs Carla A Etherton-moore is licensed to practice in Alabama (license number 1-093749) 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 1063478576.

Contact Information

	Mrs Carla A Etherton-moore, CRNP
	11 Medical Park, Valley, AL 36854-3665
	(334) 756-4860
	(334) 756-4866

Map and Direction

Provider's Profile

Full Name	Mrs Carla A Etherton-moore
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	11 Medical Park, Valley, Alabama
Accepts Medicare Assignments	Yes. 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 Carla A Etherton-moore graduated from nursing school in 2003

NPI Data:

NPI Number: 1063478576
Provider Enumeration Date: 04/24/2006
Last Update Date: 03/23/2010

Medicare PECOS Information:

PECOS PAC ID: 2365463627
Enrollment ID: I20051214000417

Medical Identifiers

Medical identifiers for Mrs Carla A Etherton-moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063478576	NPI	-	NPPES
891010840	Medicaid	AL
515-32708	Other	AL	BLUE CROSS OF AL PROV #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-093749 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
East Alabama Medical Center And Snf	Opelika, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valley Area Primary Care Llc	1658672530	13

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 Carla A Etherton-moore allows following entities to bill medicare on her behalf.

Entity Name	Jackson Montgomery Emergency Physcians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952358590 PECOS PAC ID: 5597785634 Enrollment ID: O20051202000795

Entity Name	Valley Area Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508252685 PECOS PAC ID: 1658672530 Enrollment ID: O20151217002463

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 Carla A Etherton-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 Address	Practice Location Address
Mrs Carla A Etherton-moore, CRNP 11 Medical Park, Valley, AL 36854-3665 Ph: (334) 756-4860	Mrs Carla A Etherton-moore, CRNP 11 Medical Park, Valley, AL 36854-3665 Ph: (334) 756-4860

Reviews and Comments

Nurse Practitioner Nurses in Valley, AL

Leah Knight, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305
Greta Melton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305
Deanna Nachelle Fletcher, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305
Miracle Lovelace, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Medical Park N, Valley, AL 36854 Phone: 334-756-8043 Fax: 334-756-8059
Mrs. Leanne Knowles, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Valley, AL 36854 Phone: 334-756-5150
Valalena L Maddox, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Medical Park, Valley, AL 36854 Phone: 334-756-8043 Fax: 334-756-8059

Mrs Carla A Etherton-moore, CRNP - Medicare Nurse Practitioner in Valley, AL