Phyllis Ann Moore, FNP in Fort Worth, TX - Medicare Nurse Practitioner

Phyllis Ann Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 815 Pennsylvania Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 321-0387.

Phyllis Ann Moore is licensed to practice in Texas (license number 254099) 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 1235407248.

Contact Information

	Phyllis Ann Moore, FNP
	815 Pennsylvania Ave, Fort Worth, TX 76104-2224
	(817) 321-0387
	(469) 522-6889

Map and Direction

Provider's Profile

Full Name	Phyllis Ann Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	815 Pennsylvania Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235407248
Provider Enumeration Date: 12/05/2011
Last Update Date: 12/05/2011

Medicare PECOS Information:

PECOS PAC ID: 6002843463
Enrollment ID: I20050718001032

Medical Identifiers

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

Identifier	Type	State	Issuer
1235407248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	254099 (Texas)	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. Phyllis Ann Moore allows following entities to bill medicare on her behalf.

Entity Name	Radiology Associates Of North Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710970975 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531

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. Phyllis Ann 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
Phyllis Ann Moore, FNP 816 W Cannon St, Fort Worth, TX 76104-3146 Ph: (817) 321-0387	Phyllis Ann Moore, FNP 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 Ph: (817) 321-0387

Reviews and Comments

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Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
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Phyllis Ann Moore, FNP - Medicare Nurse Practitioner in Fort Worth, TX