Susan Kaye Moore, NP in Fort Eustis, VA - Medicare Nurse Practitioner

Susan Kaye Moore, NP is a medicare enrolled "Nurse Practitioner" in Fort Eustis, Virginia. Her current practice location is 815 Gaffey Pl, Fort Eustis, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 314-7500.

Susan Kaye Moore is licensed to practice in Virginia (license number 0024166514) 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 1487682290.

Contact Information

	Susan Kaye Moore, NP
	815 Gaffey Pl, Fort Eustis, VA 23604-1505
	(757) 314-7500
	(757) 878-6280

Map and Direction

Provider's Profile

Full Name	Susan Kaye Moore
Gender	Female
Speciality	Nurse Practitioner
Location	815 Gaffey Pl, Fort Eustis, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487682290
Provider Enumeration Date: 06/29/2006
Last Update Date: 02/06/2017

Medicare PECOS Information:

PECOS PAC ID: 3870507874
Enrollment ID: I20060130000303

Medical Identifiers

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

Identifier	Type	State	Issuer
1487682290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0024166514 (Virginia)	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. Susan Kaye Moore allows following entities to bill medicare on her behalf.

Entity Name	Center For Integrative And Regenerative Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003434655 PECOS PAC ID: 9436575651 Enrollment ID: O20200722002437

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. Susan Kaye 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
Susan Kaye Moore, NP 860 Omni Blvd, Ste 303, Newport News, VA 23606-4477 Ph: (757) 232-8769	Susan Kaye Moore, NP 815 Gaffey Pl, Fort Eustis, VA 23604-1505 Ph: (757) 314-7500

Reviews and Comments

Nurse Practitioner Nurses in Fort Eustis, VA

Mr. Edward Eugene Yackel, MSN,APRN-BC (FNP) Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7527 Fax: 757-314-7661
Latosha Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7655
Davenna Mcglone-young, C.F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Mcdonald Army Community Health Center, Fort Eustis, VA 23604 Phone: 757-314-7583 Fax: 757-314-7655
Mrs. Rosemary Ann Jackson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave., Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7854
Ms. Ann Elizabeth Shoemaker, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7543
Dr. Johnathan Matthew Taylor, DNP, APRN, NP-C, CEN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7654
Karen Nyman, FNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7522

Susan Kaye Moore, NP - Medicare Nurse Practitioner in Fort Eustis, VA