Trista Lynn Moore, DPT in Maplewood, MN - Medicare Physical Therapist Provider

Trista Lynn Moore, DPT is a medicare enrolled "Physical Therapist" provider in Maplewood, Minnesota. Her current practice location is 2495 Maplewood Dr Ste 313, Maplewood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 770-8884.

Trista Lynn Moore is licensed to practice in Minnesota (license number 11084) 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 1467933937.

Contact Information

	Trista Lynn Moore, DPT
	2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985
	(651) 770-8884
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Trista Lynn Moore
Gender	Female
Speciality	Physical Therapist
Location	2495 Maplewood Dr Ste 313, Maplewood, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467933937
Provider Enumeration Date: 08/23/2018
Last Update Date: 11/02/2018

Medicare PECOS Information:

PECOS PAC ID: 9234481680
Enrollment ID: I20181011002973

Medical Identifiers

Medical identifiers for Trista Lynn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467933937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11084 (Minnesota)	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. Trista Lynn Moore allows following entities to bill medicare on her behalf.

Provider Name	Family Achievement Center Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720

Provider Name	Functional Integrated Therapy, Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477640613 PECOS PAC ID: 9234189879 Enrollment ID: O20050131001036

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. Trista Lynn 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
Trista Lynn Moore, DPT 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 Ph: () -	Trista Lynn Moore, DPT 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 Ph: (651) 770-8884

Reviews and Comments

Physical Therapist in Maplewood, MN

Annaliese P Miller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1570 Beam Ave Ste 200, Maplewood, MN 55109 Phone: 651-232-7820
Ms. Jacqueline May-ly Vo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1570 Beam Ave Ste 200, Maplewood, MN 55109 Phone: 651-232-7820
Alisse Zignego, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 320, Maplewood, MN 55109 Phone: 612-273-6228
Johnathan Cicchese, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1747 Beam Ave, Suite Number 100, Maplewood, MN 55109 Phone: 651-326-5569
Dr. Ryan P Tully, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Maplewood, MN 55109 Phone: 231-846-8766
Elise Vanett Mackenzie, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1570 Beam Ave, Maplewood, MN 55109 Phone: 651-326-7940
Gayla Marie Pleggenkuhle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Suite 309, Maplewood, MN 55109 Phone: 651-779-6543

Trista Lynn Moore, DPT - Medicare Physical Therapist in Maplewood, MN