Olivia Moreno, is a medicare enrolled "Family Medicine" physician in Cordova, Alaska. Her current practice location is
602 Chase Ave, Cordova, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 424-8000.
Olivia Moreno is licensed to practice in Alaska (license number 216655) 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 1588401434.
Physician's Profile
| Full Name | Olivia Moreno |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 602 Chase Ave, Cordova, Alaska |
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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: 1588401434
- Provider Enumeration Date: 07/09/2024
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880117480
- Enrollment ID: I20250324003652
Medical Identifiers
Medical identifiers for Olivia Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588401434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 216655 (Alaska) | 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. Olivia Moreno allows following entities to bill medicare on her behalf.
| Entity Name | Cordova Community Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215035787
PECOS PAC ID: 1759275902
Enrollment ID: O20040210000439 |
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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. Olivia 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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Olivia Moreno,
Po Box 2473,
Cordova, AK 99574-2473
Ph: (907) 382-4002 | Olivia Moreno,
602 Chase Ave,
Cordova, AK 99574-0559
Ph: (907) 424-8000 |
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