Brecken Dewey Moore, FNP in Sandy, UT - Medicare Nurse Practitioner

Brecken Dewey Moore, FNP is a medicare enrolled "Nurse Practitioner" in Sandy, Utah. His current practice location is 7410 S Creek Rd Ste 100, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 816-1010.

Brecken Dewey Moore is licensed to practice in Utah (license number 120502688900) 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 1336830108.

Contact Information

	Brecken Dewey Moore, FNP
	7410 S Creek Rd Ste 100, Sandy, UT 84093-6151
	(801) 816-1010
	Not Available

Map and Direction

Provider's Profile

Full Name	Brecken Dewey Moore
Gender	Male
Speciality	Nurse Practitioner
Location	7410 S Creek Rd Ste 100, Sandy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336830108
Provider Enumeration Date: 05/15/2023
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8325489016
Enrollment ID: I20240513001658

Medical Identifiers

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

Identifier	Type	State	Issuer
1336830108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	120502688900 (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. Brecken Dewey Moore allows following entities to bill medicare on his behalf.

Entity Name	Alberto Souza Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972141588 PECOS PAC ID: 1254766371 Enrollment ID: O20200120000856

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. Brecken Dewey 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
Brecken Dewey Moore, FNP 1004 W Tuscany View Rd Unit 1705, Midvale, UT 84047-4826 Ph: (435) 590-2312	Brecken Dewey Moore, FNP 7410 S Creek Rd Ste 100, Sandy, UT 84093-6151 Ph: (801) 816-1010

Reviews and Comments

Nurse Practitioner Nurses in Sandy, UT

Loandra Berg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Ste 110, Sandy, UT 84094 Phone: 801-501-6100
Angela Marie Miller, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11562 S Hickory Valley Dr, Sandy, UT 84092 Phone: 435-901-1995
Theresa Brooke Sligting, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9600 S 1300 E Ste 220, Sandy, UT 84094 Phone: 801-571-0009
Benjamin Zachariah Rollins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 E Mingo Park Dr, Sandy, UT 84070 Phone: 801-554-4784
Mr. Eugene Ray Snyder, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9660 S 1300 E, Sandy, UT 84094 Phone: 801-662-4275
Jennifer Lyn Aragon, A.P.R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9980 S 300 W Ste 200, Sandy, UT 84070 Phone: 385-495-4151 Fax: 844-596-0409
Shalayne Ann Fancher, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9432 S Antimony Cir, Sandy, UT 84094 Phone: 801-440-7239

Brecken Dewey Moore, FNP - Medicare Nurse Practitioner in Sandy, UT