Dr Kryste Avery-moore, in Newark, NJ - Medicare Dentist Provider

Dr Kryste Avery-moore, is a medicare enrolled "Dentist" provider in Newark, New Jersey. Her current practice location is 110 William St, Room 111, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 733-7590.

Dr Kryste Avery-moore is licensed to practice in New Jersey (license number 22DI101843100) 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 1588787782.

Contact Information

	Dr Kryste Avery-moore,
	110 William St, Room 111, Newark, NJ 07102-1304
	(973) 733-7590
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kryste Avery-moore
Gender	Female
Speciality	Dentist
Location	110 William St, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588787782
Provider Enumeration Date: 04/10/2007
Last Update Date: 03/18/2013

Medicare PECOS Information:

PECOS PAC ID: 0446540058
Enrollment ID: I20230703000977

Medical Identifiers

Medical identifiers for Dr Kryste Avery-moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588787782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	22DI101843100 (New Jersey)	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 Kryste Avery-moore allows following entities to bill medicare on her behalf.

Entity Name	City Of Newark
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356561278 PECOS PAC ID: 8123169182 Enrollment ID: O20100113000101

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 Kryste Avery-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
Dr Kryste Avery-moore, 110 William St, Room 111, Newark, NJ 07102-1304 Ph: (973) 733-7590	Dr Kryste Avery-moore, 110 William St, Room 111, Newark, NJ 07102-1304 Ph: (973) 733-7590

Reviews and Comments

Dentist in Newark, NJ

Hoda Yousef, DMD MS Dentist Medicare: Medicare Enrolled Practice Location: 90 Bergen St Ste 7700, Newark, NJ 07103 Phone: 973-972-2444
Theodore Davis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 804 Clinton Ave, Clinton Hill Dental Assoc, Newark, NJ 07108 Phone: 973-374-5200 Fax: 973-374-5609
Dr. Cheryl Lynn Biber, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 Bergen St, Umdnj - New Jersey Dental School, Newark, NJ 07103 Phone: 973-972-0833
Dr. Fatima D Tavares, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 411-419 Chestnut St, Unit 1b, Newark, NJ 07105 Phone: 973-732-3484
Yoon Weon Suh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 223 Bloomfield Ave, Newark, NJ 07104 Phone: 973-435-8100
Dr. Ira J Saber, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 Bergen Street, Newark, NJ 07101 Phone: 973-972-4717 Fax: 973-972-7322
Dr. Ival G. Mcdermott, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: Umdnj-new Jersey Dental School, 110 Bergen Street, D830, Newark, NJ 07101 Phone: 973-972-3851

Dr Kryste Avery-moore, - Medicare Dentist in Newark, NJ