Andrew Thomas Moore, FNP in Saratoga Springs, UT

Andrew Thomas Moore, FNP is a medicare enrolled "Registered Nurse" in Saratoga Springs, Utah. His current practice location is 592 S Highpoint Dr, Saratoga Springs, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 837-2791.

Andrew Thomas Moore is licensed to practice in Utah (license number 9783190-3102) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407535636.

Contact Information

	Andrew Thomas Moore, FNP
	592 S Highpoint Dr, Saratoga Springs, UT 84045-4514
	(801) 837-2791
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrew Thomas Moore
Gender	Male
Speciality	Registered Nurse
Location	592 S Highpoint Dr, Saratoga Springs, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407535636
Provider Enumeration Date: 07/14/2023
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 3971030966
Enrollment ID: I20250103000505

Medical Identifiers

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

Identifier	Type	State	Issuer
1407535636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9783190-3102 (Utah)	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. Andrew Thomas Moore allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Andrew Thomas 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
Andrew Thomas Moore, FNP 592 S Highpoint Dr, Saratoga Springs, UT 84045-4514 Ph: (801) 837-2791	Andrew Thomas Moore, FNP 592 S Highpoint Dr, Saratoga Springs, UT 84045-4514 Ph: (801) 837-2791

Reviews and Comments

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Andrew Thomas Moore, FNP - Medicare Registered Nurse in Saratoga Springs, UT