Mrs Courtney Moultrie, FNP in Fresno, CA - Medicare Nurse Practitioner

Mrs Courtney Moultrie, FNP is a medicare enrolled "Nurse Practitioner" in Fresno, California. Her current practice location is 1648 E Herndon Ave, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 432-7222.

Mrs Courtney Moultrie is licensed to practice in California (license number 95013368) 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 1760071740.

Contact Information

	Mrs Courtney Moultrie, FNP
	1648 E Herndon Ave, Fresno, CA 93720-3381
	(559) 432-7222
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Courtney Moultrie
Gender	Female
Speciality	Nurse Practitioner
Location	1648 E Herndon Ave, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760071740
Provider Enumeration Date: 01/13/2021
Last Update Date: 01/13/2021

Medicare PECOS Information:

PECOS PAC ID: 1456742410
Enrollment ID: I20211229002048

Medical Identifiers

Medical identifiers for Mrs Courtney Moultrie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760071740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95013368 (California)	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 Courtney Moultrie allows following entities to bill medicare on her behalf.

Entity Name	Edgar S. Macias, M.d., Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871882712 PECOS PAC ID: 2567630551 Enrollment ID: O20110926000541

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 Courtney Moultrie 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 Courtney Moultrie, FNP 1682 N Broadbent Ln, Clovis, CA 93619-5050 Ph: () -	Mrs Courtney Moultrie, FNP 1648 E Herndon Ave, Fresno, CA 93720-3381 Ph: (559) 432-7222

Reviews and Comments

Nurse Practitioner Nurses in Fresno, CA

Ms. Sheila Orallo Mallory, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1867 E Fir Ave Ste 104, Fresno, CA 93720 Phone: 559-325-5876 Fax: 559-325-5838
Gretchen Nelson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 E Spruce Ave Ste 203, Fresno, CA 93720 Phone: 559-450-7272 Fax: 559-450-7276
Marlene Solomon Lim, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5755 E Kings Canyon Rd, Suite 104, Fresno, CA 93727 Phone: 559-255-7777 Fax: 559-454-1091
Ms. Yolanda Mata, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 N Dewitt Ave, Fresno, CA 93727 Phone: 559-255-1373
Tamara Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440
Shalvi Shaili, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5860 E Byrd Ave, Fresno, CA 93727 Phone: 510-334-9295
Natalie Betancur, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227

Mrs Courtney Moultrie, FNP - Medicare Nurse Practitioner in Fresno, CA