Terri Moore, in Providence, RI - Medicare Nurse Practitioner

Terri Moore, is a medicare enrolled "Nurse Practitioner - Neonatal" in Providence, Rhode Island. Her current practice location is 101 Dudley St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 273-0641.

Terri Moore is licensed to practice in Rhode Island (license number APRN00453) 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 1871923698.

Contact Information

	Terri Moore,
	101 Dudley St, Providence, RI 02905
	(401) 273-0641
	(401) 273-2919

Map and Direction

Provider's Profile

Full Name	Terri Moore
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	101 Dudley St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871923698
Provider Enumeration Date: 11/14/2013
Last Update Date: 04/27/2021

Medicare PECOS Information:

PECOS PAC ID: 5698020931
Enrollment ID: I20191031001301

Medical Identifiers

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

Identifier	Type	State	Issuer
1871923698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NPP37803 (Rhode Island)	Secondary
363L00000X	Nurse Practitioner	274756 (Massachusetts)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	NPP37803 (Rhode Island)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	APRN00453 (Rhode Island)	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. Terri Moore allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

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. Terri 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
Terri Moore, 101 Dudley St, Providence, RI 02905-2401 Ph: (401) 273-0641	Terri Moore, 101 Dudley St, Providence, RI 02905 Ph: (401) 273-0641

Reviews and Comments

Nurse Practitioner Nurses in Providence, RI

Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100

Terri Moore, - Medicare Nurse Practitioner in Providence, RI