Gloria L Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Southfield, Michigan. She went to University Of Michigan Medical School and graduated in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Inhospital Physicians Michigan Pllc, International Medical Clinic Pllc, Ihp Mi Emergency Medicine Pllc and her current practice location is
18000 W 9 Mile Rd Ste 525, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 327-6196.
Gloria L Moore is licensed to practice in Michigan (license number 4704301246NSA220SA) 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 1073235859.
Healthcare Provider's Profile
| Full Name | Gloria L Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 18000 W 9 Mile Rd Ste 525, Southfield, Michigan |
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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:
- Gloria L Moore attended and graduated from University Of Michigan Medical School in 2020
NPI Data:
- NPI Number: 1073235859
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 04/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 4284089574
- Enrollment ID: I20231005003016
Medical Identifiers
Medical identifiers for Gloria L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073235859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4704263386 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704301246NSA220SA (Michigan) | Primary |
| 163WX1500X | Registered Nurse - Ostomy Care | 4704263386 (Michigan) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | 4704263386 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Inhospital Physicians Michigan Pllc | 5991208407 | 15 |
| International Medical Clinic Pllc | 0941626188 | 9 |
| Ihp Mi Emergency Medicine Pllc | 2365821634 | 42 |
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. Gloria L Moore allows following entities to bill medicare on her behalf.
| Entity Name | International Medical Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306473418
PECOS PAC ID: 0941626188
Enrollment ID: O20200818002534 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855 |
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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. Gloria 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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Gloria L Moore, FNP
5316 Lakeshore Rd,
Fort Gratiot, MI 48059-3118
Ph: (810) 357-8792 | Gloria L Moore, FNP
18000 W 9 Mile Rd Ste 525,
Southfield, MI 48075-4080
Ph: (248) 327-6196 |
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