Phyllis P Moore, DNP,FNP-BC - Medicare Nurse Practitioner in Friendship, TN

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Phyllis P Moore, DNP,FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Friendship, Tennessee. Her current practice location is 600 Main St, Friendship, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 677-3400.

Phyllis P Moore is licensed to practice in Tennessee (license number APN0000016606) 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 1023374279.

Contact Information

Phyllis P Moore, DNP,FNP-BC
600 Main St,
Friendship, TN 38034-1999
(731) 677-3400
(731) 677-3402

Map and Direction




Provider's Profile

Full NamePhyllis P Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location600 Main St, Friendship, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023374279
  • Provider Enumeration Date: 04/02/2012
  • Last Update Date: 11/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2264694165
  • Enrollment ID: I20120509000473

Medical Identifiers

Medical identifiers for Phyllis P Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023374279NPI-NPPES
Q021117MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APN0000016606 (Tennessee)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 P Moore allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Tennessee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780686436
PECOS PAC ID: 3072421213
Enrollment ID: O20031119000671
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

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 P 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 AddressPractice Location Address
Phyllis P Moore, DNP,FNP-BC
600 Main St,
Friendship, TN 38034-1999

Ph: (731) 677-3400		Phyllis P Moore, DNP,FNP-BC
600 Main St,
Friendship, TN 38034-1999

Ph: (731) 677-3400

Reviews and Comments


Nurse Practitioner Nurses in Friendship, TN

Madelyne Ellis, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1159 Walter Taylor Rd, Friendship, TN 38034
Phone: 931-787-4062    
Ashley Blalock,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4903 Bruceville Slab Rd, Friendship, TN 38034
Phone: 731-676-0393    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.