Susan Lynn Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Wellston, Ohio. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holzer Clinic Llc and her current practice location is
140 Jenkins Memorial Rd, Wellston, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 384-2167.
Susan Lynn Moore is licensed to practice in Ohio (license number COA18053-NP) 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 1942678529.
Provider's Profile
| Full Name | Susan Lynn Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 140 Jenkins Memorial Rd, Wellston, Ohio |
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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. |
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Medical Education and Training:
- Susan Lynn Moore graduated from nursing school in 2015
NPI Data:
- NPI Number: 1942678529
- Provider Enumeration Date: 09/12/2015
- Last Update Date: 11/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537479084
- Enrollment ID: I20151112001488
Medical Identifiers
Medical identifiers for Susan Lynn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942678529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | COA18053-NP (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Holzer Clinic Llc | 5890606008 | 264 |
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 Lynn Moore allows following entities to bill medicare on her behalf.
| Entity Name | Holzer Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746 |
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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. Susan Lynn 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 |
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Susan Lynn Moore, CNP
100 Jackson Pike,
Gallipolis, OH 45631-1560
Ph: (740) 446-5000 | Susan Lynn Moore, CNP
140 Jenkins Memorial Rd,
Wellston, OH 45692-9561
Ph: (740) 384-2167 |
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