Mr Christopher Joseph Moore, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Middleburg, Florida. His current practice location is
3292 County Road 220, Middleburg, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 291-5561.
Mr Christopher Joseph Moore is licensed to practice in Florida (license number 11036523) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417760323.
Healthcare Provider's Profile
Full Name | Mr Christopher Joseph Moore |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 3292 County Road 220, Middleburg, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417760323
- Provider Enumeration Date: 01/27/2025
- Last Update Date: 03/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385167568
- Enrollment ID: I20250328000018
Medical Identifiers
Medical identifiers for Mr Christopher Joseph Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417760323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 11036523 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11036523 (Florida) | 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. Mr Christopher Joseph Moore allows following entities to bill medicare on his behalf.
Entity Name | Clay Behavioral Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275619488 PECOS PAC ID: 7911990353 Enrollment ID: O20040403000094 |
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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. Mr Christopher Joseph 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 |
Mr Christopher Joseph Moore, ARNP 1378 Dancy St, Jacksonville, FL 32205-8361 Ph: (904) 522-2529 | Mr Christopher Joseph Moore, ARNP 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561 |
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