Dr Nicole Renee Moffett, OD - Medicare Optometrist in Waldorf, MD

Dr Nicole Renee Moffett, OD is a medicare enrolled "Optometrist" provider in Waldorf, Maryland. Her current practice location is 2365 Crain Hwy, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 932-9408.

Dr Nicole Renee Moffett is licensed to practice in Maryland (license number TA1223) 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 1366574808.

Contact Information

Dr Nicole Renee Moffett, OD
2365 Crain Hwy,
Waldorf, MD 20601-3167
(301) 932-9408
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicole Renee Moffett
GenderFemale
SpecialityOptometrist
Location2365 Crain Hwy, Waldorf, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366574808
  • Provider Enumeration Date: 03/11/2007
  • Last Update Date: 09/27/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2961712351
  • Enrollment ID: I20161021000270

Medical Identifiers

Medical identifiers for Dr Nicole Renee Moffett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366574808NPI-NPPES
4463081 00MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TA1223 (Maryland)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. Dr Nicole Renee Moffett allows following entities to bill medicare on her behalf.
Provider NameNicole R Moffett Od Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881064319
PECOS PAC ID: 0244540631
Enrollment ID: O20161021000170

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. Dr Nicole Renee Moffett 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 AddressPractice Location Address
Dr Nicole Renee Moffett, OD
Po Box 451,
Cheltenham, MD 20623-0451

Ph: () -
Dr Nicole Renee Moffett, OD
2365 Crain Hwy,
Waldorf, MD 20601-3167

Ph: (301) 932-9408

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.