Chantz Moore, APRN- CNP in Longview, TX - Medicare Nurse Practitioner

Chantz Moore, APRN- CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Longview, Texas. His current practice location is 700 E Marshall Ave, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 315-2000.

Chantz Moore is licensed to practice in Texas (license number 1123730) 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 1215615869.

Contact Information

	Chantz Moore, APRN- CNP
	700 E Marshall Ave, Longview, TX 75601-5580
	(903) 315-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Chantz Moore
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	700 E Marshall Ave, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215615869
Provider Enumeration Date: 07/05/2023
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1951751833
Enrollment ID: I20231219003057

Medical Identifiers

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

Identifier	Type	State	Issuer
1215615869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1123730 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1123730 (Texas)	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. Chantz Moore allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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. Chantz 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
Chantz Moore, APRN- CNP 700 E Marshall Ave, Longview, TX 75601-5580 Ph: () -	Chantz Moore, APRN- CNP 700 E Marshall Ave, Longview, TX 75601-5580 Ph: (903) 315-2000

Reviews and Comments

Nurse Practitioner Nurses in Longview, TX

Sarah Faye Earnest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-8808 Fax: 903-234-9769
Christina Lea Croley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 200, Longview, TX 75601 Phone: 903-236-2222
Dorothy Mckenzie Womack, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Mary Mckenzie, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 W Loop 281, Longview, TX 75604 Phone: 903-295-1396
Ms. Erica O Salami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 4003, Longview, TX 75601 Phone: 903-315-2032
Jennifer Borrego, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656
Christy Anne Cobb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6223 Fax: 903-291-6222

Chantz Moore, APRN- CNP - Medicare Nurse Practitioner in Longview, TX