Amber Nicole Moore, FNP-C in Sparta, TN - Medicare Nurse Practitioner

Amber Nicole Moore, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sparta, Tennessee. Her current practice location is 207 E Bockman Way, Sparta, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 836-6461.

Amber Nicole Moore is licensed to practice in Tennessee (license number 29103) 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 1629662093.

Contact Information

	Amber Nicole Moore, FNP-C
	207 E Bockman Way, Sparta, TN 38583-2041
	(931) 836-6461
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Nicole Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	207 E Bockman Way, Sparta, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629662093
Provider Enumeration Date: 02/25/2021
Last Update Date: 11/09/2022

Medicare PECOS Information:

PECOS PAC ID: 4183030281
Enrollment ID: I20210316001782

Medical Identifiers

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

Identifier	Type	State	Issuer
1629662093	NPI	-	NPPES
Q064977	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	29103 (Tennessee)	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. Amber Nicole Moore allows following entities to bill medicare on her behalf.

Entity Name	Cookeville Medical Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013055912 PECOS PAC ID: 0143125237 Enrollment ID: O20031203000055

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. Amber Nicole 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
Amber Nicole Moore, FNP-C 225 N Willow Ave Ste 3, Cookeville, TN 38501-2335 Ph: (931) 528-8899	Amber Nicole Moore, FNP-C 207 E Bockman Way, Sparta, TN 38583-2041 Ph: (931) 836-6461

Reviews and Comments

Nurse Practitioner Nurses in Sparta, TN

Jeanne Kay Thompson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Howell St, Sparta, TN 38583 Phone: 931-739-0048
Ms. Laura Allese Hall, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Sam Walton Dr Ste 600, Sparta, TN 38583 Phone: 931-739-4000
Anna V Benningfield, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Sewell Dr, Sparta, TN 38583 Phone: 931-739-3000 Fax: 931-739-3013
James Clark Childress, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 457 Vista Dr, Sparta, TN 38583 Phone: 931-738-3383
Kelly Lyons, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Sewell Dr, Sparta, TN 38583 Phone: 931-739-3000 Fax: 931-739-3013
Nikki Realin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Walker St, Sparta, TN 38583 Phone: 931-836-2201

Amber Nicole Moore, FNP-C - Medicare Nurse Practitioner in Sparta, TN