Alejandra Moore, APNP in Kenosha, WI - Medicare Nurse Practitioner

Alejandra Moore, APNP is a medicare enrolled "Nurse Practitioner" in Kenosha, Wisconsin. Her current practice location is 7401 104th Ave Ste 110, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 764-5595.

Alejandra Moore is licensed to practice in Wisconsin (license number 14317-33) 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 1073295085.

Contact Information

	Alejandra Moore, APNP
	7401 104th Ave Ste 110, Kenosha, WI 53142-7845
	(262) 764-5595
	(262) 764-9314

Map and Direction

Provider's Profile

Full Name	Alejandra Moore
Gender	Female
Speciality	Nurse Practitioner
Location	7401 104th Ave Ste 110, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073295085
Provider Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 4385090521
Enrollment ID: I20231025000908

Medical Identifiers

Medical identifiers for Alejandra Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073295085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	14317-33 (Wisconsin)	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. Alejandra Moore allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Orthopaedics Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295717445 PECOS PAC ID: 3375445497 Enrollment ID: O20040121000174

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. Alejandra 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
Alejandra Moore, APNP 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 Ph: (262) 764-5595	Alejandra Moore, APNP 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 Ph: (262) 764-5595

Reviews and Comments

Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-565-0044
Carly Worden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560

Alejandra Moore, APNP - Medicare Nurse Practitioner in Kenosha, WI