Laura Moreno, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Edmond, Oklahoma. Her current practice location is
1534 E. 15th St, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 861-0224.
Laura Moreno is licensed to practice in Oklahoma (license number 200085) 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 1982219697.
Physician's Profile
| Full Name | Laura Moreno |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1534 E. 15th St, Edmond, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982219697
- Provider Enumeration Date: 09/10/2020
- Last Update Date: 11/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133530967
- Enrollment ID: I20201130000399
Medical Identifiers
Medical identifiers for Laura Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982219697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 115206 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 200085 (Oklahoma) | 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. Laura Moreno allows following entities to bill medicare on her behalf.
| Entity Name | Pawhuska Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174521991
PECOS PAC ID: 7012906548
Enrollment ID: O20040510001389 |
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| Entity Name | Carnegie Tri-county Municipal Hospital Management Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275657017
PECOS PAC ID: 6800835935
Enrollment ID: O20050429000480 |
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| Entity Name | Simple Clinic, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871035022
PECOS PAC ID: 2961545207
Enrollment ID: O20100208000825 |
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| Entity Name | Prague Healthcare Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851537096
PECOS PAC ID: 8123435187
Enrollment ID: O20210524002299 |
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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. Laura Moreno 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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Laura Moreno, APRN
1632 Camden Way # X,
Edmond, OK 73013-2939
Ph: (405) 926-0353 | Laura Moreno, APRN
1534 E. 15th St,
Edmond, OK 73013-3630
Ph: (405) 861-0224 |
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