Cindy D Moore, AGNP-BC in Fairbanks, AK - Medicare Nurse Practitioner

Cindy D Moore, AGNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Fairbanks, Alaska. Her current practice location is 1919 Lathrop St Ste 100, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3570.

Cindy D Moore is licensed to practice in Virginia (license number 0024188774) 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 1164299178.

Contact Information

	Cindy D Moore, AGNP-BC
	1919 Lathrop St Ste 100, Fairbanks, AK 99701-5937
	(907) 459-3570
	Not Available

Map and Direction

Provider's Profile

Full Name	Cindy D Moore
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1919 Lathrop St Ste 100, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164299178
Provider Enumeration Date: 12/08/2023
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4385087816
Enrollment ID: I20240212002093

Medical Identifiers

Medical identifiers for Cindy D Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164299178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	0024188774 (Virginia)	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. Cindy D Moore allows following entities to bill medicare on her behalf.

Entity Name	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

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. Cindy D 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
Cindy D Moore, AGNP-BC 824 Woodsford Dr, Greenville, SC 29615-5468 Ph: (864) 871-4079	Cindy D Moore, AGNP-BC 1919 Lathrop St Ste 100, Fairbanks, AK 99701-5937 Ph: (907) 459-3570

Reviews and Comments

Nurse Practitioner Nurses in Fairbanks, AK

Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701
Ms. Krista Marie Johnson, CNM, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2054 30th Ave, Fairbanks, AK 99701 Phone: 907-456-3719 Fax: 907-456-1511
Janice L Stables, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701 Phone: 907-452-6330 Fax: 907-452-6335
Anne Marie Lilley, RN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701 Phone: 907-361-6370 Fax: 907-361-6372
Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238
Alyce Lynne Weckwerth, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-451-6251
Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192

Cindy D Moore, AGNP-BC - Medicare Nurse Practitioner in Fairbanks, AK