Vicky Jo Moran, CRNA in Phoenix, AZ - Medicare Nurse Anesthetist, Certified Registered

Vicky Jo Moran, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. Her current practice location is 349 E Coronado Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 266-5678.

Vicky Jo Moran is licensed to practice in Arizona (license number 251502) 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 1568410140.

Contact Information

	Vicky Jo Moran, CRNA
	349 E Coronado Rd, Phoenix, AZ 85004-1525
	(602) 266-5678
	Not Available

Map and Direction

Provider's Profile

Full Name	Vicky Jo Moran
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	349 E Coronado Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568410140
Provider Enumeration Date: 05/05/2006
Last Update Date: 06/21/2021

Medicare PECOS Information:

PECOS PAC ID: 9830158476
Enrollment ID: I20141014002369

Medical Identifiers

Medical identifiers for Vicky Jo Moran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568410140	NPI	-	NPPES
00126677	Medicaid	MS
1143073	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN103578 (Louisiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	251502 (Arizona)	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. Vicky Jo Moran allows following entities to bill medicare on her behalf.

Entity Name	First Choice Anesthesia Consultants Of Northern California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568749570 PECOS PAC ID: 8628231537 Enrollment ID: O20120511000306

Entity Name	Uap Sacramento, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245644863 PECOS PAC ID: 2860612330 Enrollment ID: O20141003002026

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. Vicky Jo Moran 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
Vicky Jo Moran, CRNA 349 E Coronado Rd, Phoenix, AZ 85004-1525 Ph: (602) 266-5678	Vicky Jo Moran, CRNA 349 E Coronado Rd, Phoenix, AZ 85004-1525 Ph: (602) 266-5678

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Phoenix, AZ

Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988
Leila Mclawhorn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039

Vicky Jo Moran, CRNA - Medicare Nurse Anesthetist, Certified Registered in Phoenix, AZ