Alisha Marie Moore, - Medicare Nurse Practitioner in Tuscaloosa, AL

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Alisha Marie Moore, is a medicare enrolled "Nurse Practitioner - Family" physician in Tuscaloosa, Alabama. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Primary Care Llc, Internal Medicine Associates Of Tuscaloosa, P.c. and her current practice location is 100 Rice Mine Rd N Ste B, Tuscaloosa, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 349-4200.

Alisha Marie Moore is licensed to practice in Alabama (license number 1-116590) 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 1710407150.

Contact Information

Alisha Marie Moore,
100 Rice Mine Rd N Ste B,
Tuscaloosa, AL 35406-2375
(205) 349-4200
Not Available

Map and Direction




Physician's Profile

Full NameAlisha Marie Moore
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location100 Rice Mine Rd N Ste B, Tuscaloosa, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alisha Marie Moore graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1710407150
  • Provider Enumeration Date: 06/27/2017
  • Last Update Date: 12/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183984057
  • Enrollment ID: I20180214002055

Medical Identifiers

Medical identifiers for Alisha Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710407150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 630900428 (Alabama)Secondary
363LF0000XNurse Practitioner - Family 1-116590 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
D C H Regional Medical CenterTuscaloosa, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Primary Care Llc57991438223
Internal Medicine Associates Of Tuscaloosa, P.c.68008139577

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. Alisha Marie Moore allows following entities to bill medicare on her behalf.
Entity NameInternal Medicine Associates Of Tuscaloosa, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225146004
PECOS PAC ID: 6800813957
Enrollment ID: O20051027000777
Entity NameNorthside Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922716018
PECOS PAC ID: 5799143822
Enrollment ID: O20230622001710

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. Alisha 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 AddressPractice Location Address
Alisha Marie Moore,
1957 Vic Green Rd,
Northport, AL 35475-4964

Ph: (205) 792-3433		Alisha Marie Moore,
100 Rice Mine Rd N Ste B,
Tuscaloosa, AL 35406-2375

Ph: (205) 349-4200

Reviews and Comments



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.