Jessica Dyan Moore, OD is a medicare enrolled "Optometrist" provider in Sutton, Nebraska. She went to Indiana University - School Of Optometry and graduated in 2002 and has 22 years of diverse experience with area of expertise as Optometry. Her current practice location is
210 N Saunders Ave, Sutton, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 366-6966.
Jessica Dyan Moore is licensed to practice in Nebraska (license number 1183) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043207194.
Healthcare Provider's Profile
Full Name | Jessica Dyan Moore |
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Gender | Female |
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Speciality | Optometry |
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Experience | 22 Years |
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Location | 210 N Saunders Ave, Sutton, Nebraska |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Dyan Moore attended and graduated from Indiana University - School Of Optometry in 2002
NPI Data:
- NPI Number: 1043207194
- Provider Enumeration Date: 10/04/2005
- Last Update Date: 07/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 6002832342
- Enrollment ID: I20051017000647
Medical Identifiers
Medical identifiers for Jessica Dyan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043207194 | NPI | - | NPPES |
22-00509 | Other | NE | UNITED HEALTH CARE |
410048038 | Other | NE | RAILROAD MEDICARE |
36383 | Other | NE | BLUE CROSS BLUE SHIELD |
0183380002 | Other | NE | DMERC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1183 (Nebraska) | 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. Jessica Dyan Moore allows following entities to bill medicare on her behalf.
Provider Name | Sutton Vision Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1588950869 PECOS PAC ID: 2860663275 Enrollment ID: O20110915000285 |
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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. Jessica Dyan 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 |
Jessica Dyan Moore, OD Po Box 75, Sutton, NE 68979-0075 Ph: (402) 366-6966 | Jessica Dyan Moore, OD 210 N Saunders Ave, Sutton, NE 68979-2511 Ph: (402) 366-6966 |
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