Tiffany Ann Moore, APRN-CNS, PMHNP-BC in Lancaster, NH

Tiffany Ann Moore, APRN-CNS, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lancaster, New Hampshire. Her current practice location is 173 Middle St, Lancaster, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 788-5075.

Tiffany Ann Moore is licensed to practice in New Hampshire (license number 090695-23) 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 1609502699.

Contact Information

	Tiffany Ann Moore, APRN-CNS, PMHNP-BC
	173 Middle St, Lancaster, NH 03584-3508
	(603) 788-5075
	(603) 788-5285

Map and Direction

Provider's Profile

Full Name	Tiffany Ann Moore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	173 Middle St, Lancaster, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609502699
Provider Enumeration Date: 08/01/2022
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6901281575
Enrollment ID: I20220917000204

Medical Identifiers

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

Identifier	Type	State	Issuer
1609502699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	090695-23 (New Hampshire)	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. Tiffany Ann Moore allows following entities to bill medicare on her behalf.

Entity Name	Southern Magnolia Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346866845 PECOS PAC ID: 7810391984 Enrollment ID: O20210811002623

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. Tiffany Ann 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
Tiffany Ann Moore, APRN-CNS, PMHNP-BC 173 Middle St, Lancaster, NH 03584-3508 Ph: (603) 788-5029	Tiffany Ann Moore, APRN-CNS, PMHNP-BC 173 Middle St, Lancaster, NH 03584-3508 Ph: (603) 788-5075

Reviews and Comments

Nurse Practitioner Nurses in Lancaster, NH

Tammy Rose Lazott, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 173 Middle St, Lancaster, NH 03584 Phone: 603-788-4911 Fax: 603-788-5027
Ms. Jodi Anderson Wilson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 173 Middle St, Lancaster, NH 03584 Phone: 603-788-4911 Fax: 603-326-5831
Maryjane Bahiyyih Corgnati, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Middle St, Lancaster, NH 03584 Phone: 603-788-2521 Fax: 603-788-5092
Lydia Anne Mckenzie, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 173 Middle St, Lancaster, NH 03584 Phone: 603-788-5075 Fax: 603-788-5285
Kate Elizabeth Noel, APRN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 173 Middle St, Lancaster, NH 03584 Phone: 603-788-5075 Fax: 603-788-5285
Mrs. Gina Lynn Bedell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Middle St, Lancaster, NH 03584 Phone: 603-788-2521 Fax: 603-788-5092

Tiffany Ann Moore, APRN-CNS, PMHNP-BC - Medicare Nurse Practitioner in Lancaster, NH