Mrs Lacy Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wartrace, Tennessee. Her current practice location is
507 Blackman Blvd W, Wartrace, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 389-0600.
Mrs Lacy Moore is licensed to practice in Tennessee (license number 14708) 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 1457682874.
Provider's Profile
| Full Name | Mrs Lacy Moore |
|---|
| Gender | Female |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 507 Blackman Blvd W, Wartrace, Tennessee |
|---|
| 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 Lacy Moore attended and graduated from in
NPI Data:
- NPI Number: 1457682874
- Provider Enumeration Date: 01/25/2010
- Last Update Date: 09/28/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Lacy Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457682874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 14708 (Tennessee) | Primary |
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 Lacy 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 Lacy Moore, FNP
507 Blackman Blvd W,
Wartrace, TN 37183-2210
Ph: (931) 389-0600 | Mrs Lacy Moore, FNP
507 Blackman Blvd W,
Wartrace, TN 37183-2210
Ph: (931) 389-0600 |
Reviews and Comments