Mrs Tina Marie Moe, FNP in Doniphan, MO - Medicare Nurse Practitioner

Mrs Tina Marie Moe, FNP is a medicare enrolled "Nurse Practitioner - Family" in Doniphan, Missouri. Her current practice location is 109 Leroux Drive, Doniphan, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 996-2136.

Mrs Tina Marie Moe is licensed to practice in Missouri (license number 152864) 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 1912157041.

Contact Information

	Mrs Tina Marie Moe, FNP
	109 Leroux Drive, Doniphan, MO 63935
	(573) 996-2136
	(573) 996-3105

Map and Direction

Provider's Profile

Full Name	Mrs Tina Marie Moe
Gender	Female
Speciality	Nurse Practitioner - Family
Location	109 Leroux Drive, Doniphan, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912157041
Provider Enumeration Date: 09/25/2008
Last Update Date: 02/05/2020

Medicare PECOS Information:

PECOS PAC ID: 1254563349
Enrollment ID: I20200221002175

Medical Identifiers

Medical identifiers for Mrs Tina Marie Moe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912157041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	152864 (Missouri)	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 Tina Marie Moe allows following entities to bill medicare on her behalf.

Entity Name	Northeast Arkansas Clinic Charitable Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190

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 Tina Marie Moe 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 Tina Marie Moe, FNP Po Box 1960, Jonesboro, AR 72403-1960 Ph: (870) 936-1000	Mrs Tina Marie Moe, FNP 109 Leroux Drive, Doniphan, MO 63935 Ph: (573) 996-2136

Reviews and Comments

Nurse Practitioner Nurses in Doniphan, MO

Ms. Ida Mccrae, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Doniphan, MO 63935 Phone: 573-996-7148 Fax: 573-996-4041
Kassidy Frillman, MSN APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Plum St Ste A, Doniphan, MO 63935 Phone: 573-351-0150
Ms. Kathreen Kelli Friend, PEDIATRIC NURSE PRAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Leroux St, Doniphan, MO 63935 Phone: 573-336-2136
Melissa Rowland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Leroux St, Doniphan, MO 63935 Phone: 573-663-2313
Bonita Hill, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Plum St, Doniphan, MO 63935 Phone: 573-996-2141
Mrs. Jennifer Lynn Smith, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Leroux St, Doniphan, MO 63935 Phone: 573-996-2136
Mrs. Holly Maria Adams, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Leroux St, Doniphan, MO 63935 Phone: 573-996-2136 Fax: 573-996-3105

Mrs Tina Marie Moe, FNP - Medicare Nurse Practitioner in Doniphan, MO