Theresa Lynn Moore, PMHNP-BC in Orange, CA - Medicare Nurse Practitioner

Theresa Lynn Moore, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orange, California. Her current practice location is 701 S Parker St Ste 2800, Orange, California. You can reach out to her office (for appointments etc.) via phone at (253) 240-0530.

Theresa Lynn Moore is licensed to practice in California (license number NP95019703) 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 1316561202.

Contact Information

	Theresa Lynn Moore, PMHNP-BC
	701 S Parker St Ste 2800, Orange, CA 92868-4720
	(253) 240-0530
	(480) 546-3134

Map and Direction

Provider's Profile

Full Name	Theresa Lynn Moore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	701 S Parker St Ste 2800, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316561202
Provider Enumeration Date: 06/05/2020
Last Update Date: 03/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9335554617
Enrollment ID: I20220824000289

Medical Identifiers

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

Identifier	Type	State	Issuer
1316561202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	61083112 (Washington)	Secondary
163W00000X	Registered Nurse	RN61083112 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	61114903 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61114903 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95019703 (California)	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. Theresa Lynn Moore allows following entities to bill medicare on her behalf.

Entity Name	Washoe Tribe Of Nevada And California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396778379 PECOS PAC ID: 8527971662 Enrollment ID: O20050602000305

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. Theresa 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
Theresa Lynn Moore, PMHNP-BC 6267 40th Street Ct E, Fife, WA 98424-2344 Ph: (919) 638-1209	Theresa Lynn Moore, PMHNP-BC 701 S Parker St Ste 2800, Orange, CA 92868-4720 Ph: (253) 240-0530

Reviews and Comments

Nurse Practitioner Nurses in Orange, CA

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Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812

Theresa Lynn Moore, PMHNP-BC - Medicare Nurse Practitioner in Orange, CA