Mrs Melanie Dawn Moore, NP in Louisville, KY - Medicare Nurse Practitioner

Mrs Melanie Dawn Moore, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Louisville, Kentucky. Her current practice location is 120 Executive Park, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 855-7200.

Mrs Melanie Dawn Moore is licensed to practice in Kentucky (license number 3007505) 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 1205187861.

Contact Information

	Mrs Melanie Dawn Moore, NP
	120 Executive Park, Louisville, KY 40207-4201
	(502) 855-7200
	(502) 855-7201

Map and Direction

Provider's Profile

Full Name	Mrs Melanie Dawn Moore
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	120 Executive Park, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205187861
Provider Enumeration Date: 09/24/2012
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 0042648966
Enrollment ID: I20200306002029

Medical Identifiers

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

Identifier	Type	State	Issuer
1205187861	NPI	-	NPPES
300035632	Medicaid	IN
7100654320	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	3007505 (Kentucky)	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 Melanie Dawn Moore allows following entities to bill medicare on her behalf.

Entity Name	Commonwealth Pain Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577

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 Melanie Dawn 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 Melanie Dawn Moore, NP 223 Executive Park, Louisville, KY 40207-4202 Ph: (502) 907-0356	Mrs Melanie Dawn Moore, NP 120 Executive Park, Louisville, KY 40207-4201 Ph: (502) 855-7200

Reviews and Comments

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Mrs Melanie Dawn Moore, NP - Medicare Nurse Practitioner in Louisville, KY