Gina L Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Argos, Indiana. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Woodlawn Hospital and her current practice location is
530 N Michigan St, Argos, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 892-5131.
Gina L Moore is licensed to practice in Indiana (license number 71001226A) 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 1992786248.
Provider's Profile
| Full Name | Gina L Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 23 Years |
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| Location | 530 N Michigan St, Argos, Indiana |
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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. |
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Medical Education and Training:
- Gina L Moore graduated from nursing school in 2001
NPI Data:
- NPI Number: 1992786248
- Provider Enumeration Date: 11/11/2005
- Last Update Date: 10/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 9537244710
- Enrollment ID: I20080312000258
Medical Identifiers
Medical identifiers for Gina L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992786248 | NPI | - | NPPES |
| 200862210 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71001226A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Woodlawn Hospital | 4082506993 | 22 |
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. Gina L Moore allows following entities to bill medicare on her behalf.
| Entity Name | Woodlawn Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639241227
PECOS PAC ID: 4082506993
Enrollment ID: O20040326000043 |
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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. Gina L 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 |
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Gina L Moore, FNP
1400 E 9th St,
Rochester, IN 46975-8931
Ph: (574) 224-1044 | Gina L Moore, FNP
530 N Michigan St,
Argos, IN 46501-1134
Ph: (574) 892-5131 |
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