Hayden Moore, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Lexington, Kentucky. Her current practice location is
1221 S Broadway, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 258-4000.
Hayden Moore is licensed to practice in Kentucky (license number 3011467) 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 1538680939.
Physician's Profile
| Full Name | Hayden Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1221 S Broadway, Lexington, Kentucky |
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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: 1538680939
- Provider Enumeration Date: 07/06/2017
- Last Update Date: 07/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294008108
- Enrollment ID: I20170829000192
Medical Identifiers
Medical identifiers for Hayden Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538680939 | NPI | - | NPPES |
| 7100540950 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RN0300X | Internal Medicine - Nephrology | 3011467 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11001495 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3011467 (Kentucky) | 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. Hayden Moore allows following entities to bill medicare on her behalf.
| Entity Name | Bluegrass Renal Care, Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366529737 PECOS PAC ID: 0042360513 Enrollment ID: O20090604000453 |
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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. Hayden 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 |
Hayden Moore, APRN 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-6200 | Hayden Moore, APRN 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-4000 |
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