Nicholas Moore, in Tempe, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Nicholas Moore, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tempe, Arizona. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Greater Anesthesia Solutions and his current practice location is 1500 S Mill Ave, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 784-5500.

Nicholas Moore is licensed to practice in Arizona (license number 246503) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013550383.

Contact Information

	Nicholas Moore,
	1500 S Mill Ave, Tempe, AZ 85281-6699
	(480) 784-5500
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Moore
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	1500 S Mill Ave, Tempe, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Moore graduated from nursing school in 2019

NPI Data:

NPI Number: 1013550383
Provider Enumeration Date: 10/19/2019
Last Update Date: 10/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3173959921
Enrollment ID: I20210524002381

Medical Identifiers

Medical identifiers for Nicholas Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013550383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA95001207 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	834330 (Nevada)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	246503 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Medical Center	Phoenix, AZ	Hospital
Abrazo West Campus	Goodyear, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Greater Anesthesia Solutions	9234357906	158

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. Nicholas Moore allows following entities to bill medicare on his behalf.

Entity Name	Greater Anesthesia Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525

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. Nicholas 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
Nicholas Moore, 912 Granger Farm Way, Las Vegas, NV 89145-8618 Ph: (808) 387-4316	Nicholas Moore, 1500 S Mill Ave, Tempe, AZ 85281-6699 Ph: (480) 784-5500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tempe, AZ

Mr. Charles David Laine, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500
Landon Craig Hitchcock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 435-660-9736
John Durkin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 E Southern Ave Ste 105, Tempe, AZ 85282 Phone: 480-820-9141
Angela L Fountain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6433 S Clark Dr, Tempe, AZ 85283 Phone: 480-414-1295
Mrs. Bridget Nester Petrillo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500 Fax: 203-865-2983
Mr. Mazi Darrell Condelee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500

Nicholas Moore, - Medicare Certified Registered Nurse Anesthetist (crna) in Tempe, AZ