Mrs Heidi Moore, CNP in Mansfield, OH - Medicare Nurse Practitioner

Mrs Heidi Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Ohio. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Primary Care Practices Inc and her current practice location is 1033 Ashland Rd Ste 205, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (567) 345-3030.

Mrs Heidi Moore is licensed to practice in Ohio (license number APRN.CNP.025450) 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 1699321646.

Contact Information

	Mrs Heidi Moore, CNP
	1033 Ashland Rd Ste 205, Mansfield, OH 44905-2156
	(567) 345-3030
	(567) 345-3031

Map and Direction

Provider's Profile

Full Name	Mrs Heidi Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1033 Ashland Rd Ste 205, Mansfield, Ohio
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 Heidi Moore graduated from nursing school in 2019

NPI Data:

NPI Number: 1699321646
Provider Enumeration Date: 08/15/2019
Last Update Date: 11/11/2020

Medicare PECOS Information:

PECOS PAC ID: 8325184393
Enrollment ID: I20200108001708

Medical Identifiers

Medical identifiers for Mrs Heidi Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699321646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.025450 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospitals Samaritan Medical Center	Ashland, OH	Hospital
Ohiohealth Mansfield Hospital	Mansfield, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Primary Care Practices Inc	3072417534	930

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 Heidi Moore allows following entities to bill medicare on her behalf.

Entity Name	University Primary Care Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767

Entity Name	Samaritan Regional Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396251989 PECOS PAC ID: 0648284067 Enrollment ID: O20060206000325

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 Heidi 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 Heidi Moore, CNP 1033 Ashland Rd Ste 205, Mansfield, OH 44905-2156 Ph: (567) 345-3030	Mrs Heidi Moore, CNP 1033 Ashland Rd Ste 205, Mansfield, OH 44905-2156 Ph: (567) 345-3030

Reviews and Comments

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Jesse W Glass, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 N Main St, Mansfield, OH 44903 Phone: 740-361-9355

Mrs Heidi Moore, CNP - Medicare Nurse Practitioner in Mansfield, OH