Ms Michelle Lee Moylan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Queenstown, Maryland. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). Her current practice location is
305 Wye Harbor Dr, Queenstown, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 703-1111.
Ms Michelle Lee Moylan is licensed to practice in Maryland (license number R135096) 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 1043267115.
Provider's Profile
Full Name | Ms Michelle Lee Moylan |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 19 Years |
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Location | 305 Wye Harbor Dr, Queenstown, Maryland |
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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:
- Ms Michelle Lee Moylan graduated from nursing school in 2005
NPI Data:
- NPI Number: 1043267115
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 12/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830100593
- Enrollment ID: I20100325000591
Medical Identifiers
Medical identifiers for Ms Michelle Lee Moylan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043267115 | NPI | - | NPPES |
556224401 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | R135096 (Maryland) | 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 Michelle Lee Moylan allows following entities to bill medicare on her behalf.
Entity Name | Zinder Anesthesia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518195296 PECOS PAC ID: 3072658400 Enrollment ID: O20100309000756 |
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Entity Name | Mlm Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366072605 PECOS PAC ID: 0244667632 Enrollment ID: O20200225000589 |
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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 Michelle Lee Moylan 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 Michelle Lee Moylan, CRNA 305 Wye Harbor Dr, Queenstown, MD 21658-1638 Ph: (410) 703-1111 | Ms Michelle Lee Moylan, CRNA 305 Wye Harbor Dr, Queenstown, MD 21658-1638 Ph: (410) 703-1111 |
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