Kali Jo Moe, FNP-C in Carbondale, IL - Medicare Nurse Practitioner

Kali Jo Moe, FNP-C is a medicare enrolled "Nurse Practitioner" in Carbondale, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Orthopedic Associates Sc and her current practice location is 1237 E Main St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 457-2281.

Kali Jo Moe is licensed to practice in Illinois (license number 209021379) 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 1790238160.

Contact Information

	Kali Jo Moe, FNP-C
	1237 E Main St, Carbondale, IL 62901-3148
	(618) 457-2281
	Not Available

Map and Direction

Provider's Profile

Full Name	Kali Jo Moe
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1237 E Main St, Carbondale, Illinois
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:

Kali Jo Moe graduated from nursing school in 2016

NPI Data:

NPI Number: 1790238160
Provider Enumeration Date: 08/02/2016
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6103104534
Enrollment ID: I20200901002134

Medical Identifiers

Medical identifiers for Kali Jo Moe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790238160	NPI	-	NPPES
04546549	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	340962 (New York)	Secondary
363L00000X	Nurse Practitioner	209021379 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Heartland Regional Medical Center	Marion, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital
St Joseph Memorial Hospital	Murphysboro, IL	Hospital
Central Dupage Hospital	Winfield, IL	Hospital
Pinckneyville Community Hospital	Pinckneyville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Orthopedic Associates Sc	8921095514	24

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. Kali Jo Moe allows following entities to bill medicare on her behalf.

Entity Name	Southern Orthopedic Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396792412 PECOS PAC ID: 8921095514 Enrollment ID: O20040427000442

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Kali Jo Moe 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
Kali Jo Moe, FNP-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Kali Jo Moe, FNP-C 1237 E Main St, Carbondale, IL 62901-3148 Ph: (618) 457-2281

Reviews and Comments

Nurse Practitioner Nurses in Carbondale, IL

Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Ms. Heather Dawn Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878

Kali Jo Moe, FNP-C - Medicare Nurse Practitioner in Carbondale, IL