Ms Dorothy Hazel Mora, CNM in Fort Defiance, AZ - Medicare Advanced Practice Midwife

Ms Dorothy Hazel Mora, CNM is a medicare enrolled "Advanced Practice Midwife" in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8770.

Ms Dorothy Hazel Mora is licensed to practice in Pennsylvania (license number MW010313) 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 1336312099.

Contact Information

	Ms Dorothy Hazel Mora, CNM
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8770
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Dorothy Hazel Mora
Gender	Female
Speciality	Advanced Practice Midwife
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336312099
Provider Enumeration Date: 04/02/2008
Last Update Date: 10/16/2019

Medicare PECOS Information:

PECOS PAC ID: 1355416157
Enrollment ID: I20080813000409

Medical Identifiers

Medical identifiers for Ms Dorothy Hazel Mora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336312099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	AP2983 (Arizona)	Secondary
367A00000X	Advanced Practice Midwife	MW010313 (Pennsylvania)	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. Ms Dorothy Hazel Mora allows following entities to bill medicare on her behalf.

Entity Name	The Fort Defiance Indian Hospital Board, Incorporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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. Ms Dorothy Hazel Mora 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
Ms Dorothy Hazel Mora, CNM Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000	Ms Dorothy Hazel Mora, CNM Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8770

Reviews and Comments

Advanced Practice Midwife Nurses in Fort Defiance, AZ

Brigette Mastel, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Linda R Barnes, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital, Inc, Fort Defiance, AZ 86504 Phone: 928-729-8798
Dana Claire Brewer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Ms. Courtney Cathleen Steer-massaro, C.N.M., F.N.P.-C. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Carol Mcconnell Stout, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Rt N12 And Rt N 7, Fort Defiance, AZ 86504 Phone: 928-729-8798 Fax: 928-729-8794
Ms. Anne Madsen, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8797

Ms Dorothy Hazel Mora, CNM - Medicare Advanced Practice Midwife in Fort Defiance, AZ