Tim I Moomaw, NP - Medicare Nurse Practitioner in Gallipolis, OH

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Tim I Moomaw, NP is a medicare enrolled "Nurse Practitioner" in Gallipolis, Ohio. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cleveland Clinic Foundation, Cleveland Clinic - Wooster, Mid-ohio Emergency Group, Llc and his current practice location is 100 Jackson Pike, Gallipolis, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 446-5000.

Tim I Moomaw is licensed to practice in Ohio (license number COA.17111-NP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386035954.

Contact Information

Tim I Moomaw, NP
100 Jackson Pike,
Gallipolis, OH 45631-1560
(740) 446-5000
Not Available

Map and Direction




Provider's Profile

Full NameTim I Moomaw
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location100 Jackson Pike, Gallipolis, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tim I Moomaw graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1386035954
  • Provider Enumeration Date: 02/18/2015
  • Last Update Date: 02/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6103144597
  • Enrollment ID: I20150415000918

Medical Identifiers

Medical identifiers for Tim I Moomaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386035954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner COA.17111-NP (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cleveland ClinicCleveland, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cleveland Clinic Foundation18502035555680
Cleveland Clinic - Wooster6800708124199
Mid-ohio Emergency Group, Llc781023351751

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. Tim I Moomaw allows following entities to bill medicare on his behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049
Entity NameUniversity Emergency Specialists Of Bedford Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434781
PECOS PAC ID: 2466357801
Enrollment ID: O20031126000765
Entity NameWooster Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033135009
PECOS PAC ID: 6800708124
Enrollment ID: O20031211000578
Entity NamePhysicians Link Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235172925
PECOS PAC ID: 8527969492
Enrollment ID: O20040405000838
Entity NameKnox Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861450066
PECOS PAC ID: 0042113862
Enrollment ID: O20041028000588
Entity NameUes Geauga, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841242997
PECOS PAC ID: 6406876002
Enrollment ID: O20051128000779
Entity NameUes Ahuja Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467883934
PECOS PAC ID: 5496985467
Enrollment ID: O20140313001425
Entity NameMagis Emergency Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801287511
PECOS PAC ID: 2769700392
Enrollment ID: O20150410002555
Entity NameMid-ohio Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881164010
PECOS PAC ID: 7810233517
Enrollment ID: O20190117001823
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210303002044

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. Tim I Moomaw 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 AddressPractice Location Address
Tim I Moomaw, NP
75 Remit Dr, #1367,
Chicago, IL 60675-1367

Ph: (866) 916-5259		Tim I Moomaw, NP
100 Jackson Pike,
Gallipolis, OH 45631-1560

Ph: (740) 446-5000

Reviews and Comments


Nurse Practitioner Nurses in Gallipolis, OH

Jeanne L Ingles, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 21 Central Ave, Gallipolis, OH 45631
Phone: 740-441-7510    Fax: 740-446-7391
Spencer Kissel,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1284 State Route 160, Gallipolis, OH 45631
Phone: 912-409-8533    
Paulette L Flinner, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 995 Jackson Pike, Gallipolis, OH 45631
Phone: 740-578-4824    
Kayla Shato,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 855-446-5937    
Kerry Dill,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 740-446-5000    
Angela Faith Arnold, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 740-446-5000    
Megan Grace Lunsford, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 740-446-5131    Fax: 740-446-5486

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.