Kathleen Marie Moore, APRN-CNP in Columbus, OH

Kathleen Marie Moore, APRN-CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Columbus, Ohio. Her current practice location is 915 Olentangy River Rd Ste 4000, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 366-3687.

Kathleen Marie Moore is licensed to practice in Ohio (license number APRN.CNP.13664) 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 1053573717.

Contact Information

	Kathleen Marie Moore, APRN-CNP
	915 Olentangy River Rd Ste 4000, Columbus, OH 43212-3154
	(614) 366-3687
	(614) 293-9698

Map and Direction

Provider's Profile

Full Name	Kathleen Marie Moore
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	915 Olentangy River Rd Ste 4000, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053573717
Provider Enumeration Date: 06/25/2008
Last Update Date: 12/08/2022

Medicare PECOS Information:

PECOS PAC ID: 8527205533
Enrollment ID: I20130511000112

Medical Identifiers

Medical identifiers for Kathleen Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053573717	NPI	-	NPPES
0079512	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	APRN.CNP.13664 (Ohio)	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. Kathleen Marie Moore allows following entities to bill medicare on her behalf.

Entity Name	Osu Otolaryngology Head And Neck Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861449407 PECOS PAC ID: 9830114529 Enrollment ID: O20051012000007

Entity Name	Osu General Internal Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603

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. Kathleen Marie 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
Kathleen Marie Moore, APRN-CNP 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 366-3687	Kathleen Marie Moore, APRN-CNP 915 Olentangy River Rd Ste 4000, Columbus, OH 43212-3154 Ph: (614) 366-3687

Reviews and Comments

Nurse Practitioner Nurses in Columbus, OH

Ms. Kimberly Gaye Cyphert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 South Grant Avenue, Columbus, OH 43215 Phone: 614-566-9221 Fax: 614-566-8738
Purvi K Patel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3525 Olentangy River Rd Ste 4330, Columbus, OH 43214 Phone: 614-255-6900 Fax: 614-255-6901
Amy Elizabeth Pietragallo, RN, MSN, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 181 Taylor Ave, Columbus, OH 43203 Phone: 614-293-7677 Fax: 614-293-2867
Megan Lottes, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 N High St, Columbus, OH 43201 Phone: 866-389-2727 Fax: 401-652-9787
Ashley Degutis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 S High St, Columbus, OH 43207 Phone: 614-274-1455 Fax: 614-274-1433
Paige Kaple, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6001 E Broad St, Columbus, OH 43213 Phone: 614-234-6000
Maria Streng, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000

Kathleen Marie Moore, APRN-CNP - Medicare Nurse Practitioner in Columbus, OH