Mrs Kamesha Dees Moultry, CRNP in Ozark, AL - Medicare Nurse Practitioner

Mrs Kamesha Dees Moultry, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Ozark, Alabama. Her current practice location is 1970 Andrews Ave, Ozark, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 774-1555.

Mrs Kamesha Dees Moultry is licensed to practice in Alabama (license number 1-101408) 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 1649727850.

Contact Information

	Mrs Kamesha Dees Moultry, CRNP
	1970 Andrews Ave, Ozark, AL 36360-3726
	(334) 774-1555
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kamesha Dees Moultry
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1970 Andrews Ave, Ozark, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649727850
Provider Enumeration Date: 09/06/2016
Last Update Date: 07/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1557766086
Enrollment ID: I20210823000872

Medical Identifiers

Medical identifiers for Mrs Kamesha Dees Moultry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649727850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-101408 (Alabama)	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 Kamesha Dees Moultry allows following entities to bill medicare on her behalf.

Entity Name	East Central Mental Health Mental Retardation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285717413 PECOS PAC ID: 3870575202 Enrollment ID: O20040601001053

Entity Name	Southern Np Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407257447 PECOS PAC ID: 1557686243 Enrollment ID: O20150223000847

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 Kamesha Dees Moultry 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 Kamesha Dees Moultry, CRNP 2812 Hartford Hwy Ste 1, Dothan, AL 36305-4927 Ph: (334) 712-1170	Mrs Kamesha Dees Moultry, CRNP 1970 Andrews Ave, Ozark, AL 36360-3726 Ph: (334) 774-1555

Reviews and Comments

Nurse Practitioner Nurses in Ozark, AL

Benjamin L Sneed, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1519 Andrews Ave, Ozark, AL 36360 Phone: 334-793-8087 Fax: 334-793-8191
Kayla Brooke Russell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 218 Hospital Ave Ste A, Ozark, AL 36360 Phone: 334-774-1982
Zara Kaitlin Benefield, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 633 S Union Ave, Ozark, AL 36360 Phone: 334-774-7572 Fax: 334-774-6237
Jerry Ladon Outlaw, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 Katherine Ave., Ozark, AL 36360 Phone: 334-774-5116 Fax: 334-774-6848
Joterian C Flowers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 532 W Roy Parker Rd, Ozark, AL 36360 Phone: 334-774-5146 Fax: 334-774-2333
Mrs. Margaret J. Hughes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1519 Andrews Ave, Ozark, AL 36360 Phone: 334-774-7610 Fax: 334-774-7288

Mrs Kamesha Dees Moultry, CRNP - Medicare Nurse Practitioner in Ozark, AL