Tyler Herchell Moore, NP in Rexburg, ID - Medicare Nurse Practitioner

Tyler Herchell Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Rexburg, Idaho. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Madison Co Memorial Hospital and his current practice location is 37 S 2nd E Ste 101, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 356-0234.

Tyler Herchell Moore is licensed to practice in Idaho (license number 72632) 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 1801532106.

Contact Information

	Tyler Herchell Moore, NP
	37 S 2nd E Ste 101, Rexburg, ID 83440-1906
	(208) 356-0234
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyler Herchell Moore
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	37 S 2nd E Ste 101, Rexburg, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyler Herchell Moore graduated from nursing school in 2022

NPI Data:

NPI Number: 1801532106
Provider Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9830578640
Enrollment ID: I20220624002623

Medical Identifiers

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

Identifier	Type	State	Issuer
1801532106	NPI	-	NPPES
72632	Other	ID	STATE BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	72632 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Madison Memorial Hospital	Rexburg, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Madison Co Memorial Hospital	8123016367	24

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. Tyler Herchell Moore allows following entities to bill medicare on his behalf.

Entity Name	Madison Co Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134592017 PECOS PAC ID: 8123016367 Enrollment ID: O20040505000664

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. Tyler Herchell 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
Tyler Herchell Moore, NP 37 S 2nd E, Rexburg, ID 83440-1906 Ph: (208) 356-0234	Tyler Herchell Moore, NP 37 S 2nd E Ste 101, Rexburg, ID 83440-1906 Ph: (208) 356-0234

Reviews and Comments

Nurse Practitioner Nurses in Rexburg, ID

Bryce Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900
Troy Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691
Annette Mary Tuft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 N 2nd E, Rexburg, ID 83440 Phone: 208-359-1770 Fax: 208-359-1780
Beyron Alexis Zecher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900
Nichole Ann Jeppesen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Madison Professional Park, Rexburg, ID 83440 Phone: 208-656-9467 Fax: 208-656-9466
Mr. Jeremiah Robins Clark, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Pioneer Rd Apt 1320, Rexburg, ID 83440 Phone: 269-428-7228
Arleigh Nash, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-359-1600

Tyler Herchell Moore, NP - Medicare Nurse Practitioner in Rexburg, ID