Mrs Kelly Marie Moore, APRN, NP in Muskogee, OK

Mrs Kelly Marie Moore, APRN, NP is a medicare enrolled "Nurse Practitioner - Family" in Muskogee, Oklahoma. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Williams Medical Group Practice Llc and her current practice location is 550 W Shawnee St, Muskogee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 935-3636.

Mrs Kelly Marie Moore is licensed to practice in Oklahoma (license number 109418) 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 1629632229.

Contact Information

	Mrs Kelly Marie Moore, APRN, NP
	550 W Shawnee St, Muskogee, OK 74401-4144
	(918) 935-3636
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Marie Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	550 W Shawnee St, Muskogee, Oklahoma
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 Kelly Marie Moore graduated from nursing school in 2018

NPI Data:

NPI Number: 1629632229
Provider Enumeration Date: 04/29/2019
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6103250758
Enrollment ID: I20200107002146

Medical Identifiers

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

Identifier	Type	State	Issuer
1629632229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R0109418 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	109418 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Williams Medical Group Practice Llc	3375832157	144

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 Kelly Marie Moore allows following entities to bill medicare on her behalf.

Entity Name	Williams Medical Group Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300

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 Kelly Marie 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 Kelly Marie Moore, APRN, NP 550 W Shawnee St, Muskogee, OK 74401-4144 Ph: (918) 910-5186	Mrs Kelly Marie Moore, APRN, NP 550 W Shawnee St, Muskogee, OK 74401-4144 Ph: (918) 935-3636

Reviews and Comments

Nurse Practitioner Nurses in Muskogee, OK

Elizabeth Walrath, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Chandler Rd Ste 107, Muskogee, OK 74403 Phone: 918-948-6360
Ifeoma Nneka Mozie, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 S 40th St, Muskogee, OK 74401 Phone: 918-683-0753 Fax: 918-683-5677
Sasha Lounmala, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr # 118, Muskogee, OK 74401 Phone: 918-348-2236
Mrs. Alef Nancy Graham, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261
Kendra Diane Round, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 539-239-5240 Fax: 539-239-5249
Mrs. Lanise Jamerson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-577-3000
Richard Parks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4318 W Okmulgee St, Muskogee, OK 74401 Phone: 918-686-0471 Fax: 918-686-9471

Mrs Kelly Marie Moore, APRN, NP - Medicare Nurse Practitioner in Muskogee, OK