Tracy L Moore, CPNP in Saint Louis, MO - Medicare Nurse Practitioner

Tracy L Moore, CPNP is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. Her current practice location is 1465 S Grand Blvd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 577-5600.

Tracy L Moore is licensed to practice in Missouri (license number 107629) 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 1386771046.

Contact Information

	Tracy L Moore, CPNP
	1465 S Grand Blvd, Saint Louis, MO 63104-1003
	(314) 577-5600
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy L Moore
Gender	Female
Speciality	Nurse Practitioner
Location	1465 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386771046
Provider Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7315199593
Enrollment ID: I20121215000032

Medical Identifiers

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

Identifier	Type	State	Issuer
1386771046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	107629 (Missouri)	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. Tracy L Moore allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Tracy L 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
Tracy L Moore, CPNP 1836 Lackland Hill Pkwy, Attn Credentialing Department, Saint Louis, MO 63146-3572 Ph: (314) 989-0300	Tracy L Moore, CPNP 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5600

Reviews and Comments

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Tracy L Moore, CPNP - Medicare Nurse Practitioner in Saint Louis, MO