Chevi Brooke Lynn Moore, FNP-C in Kilgore, TX

Chevi Brooke Lynn Moore, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kilgore, Texas. Her current practice location is 1600 S Henderson Blvd, Kilgore, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 215-3149.

Chevi Brooke Lynn Moore is licensed to practice in Arkansas (license number 229994) 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 1528898491.

Contact Information

	Chevi Brooke Lynn Moore, FNP-C
	1600 S Henderson Blvd, Kilgore, TX 75662-3518
	(903) 215-3149
	(903) 367-0300

Map and Direction

Provider's Profile

Full Name	Chevi Brooke Lynn Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1600 S Henderson Blvd, Kilgore, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528898491
Provider Enumeration Date: 08/06/2024
Last Update Date: 01/24/2025

Medicare PECOS Information:

PECOS PAC ID: 2961938642
Enrollment ID: I20250110000560

Medical Identifiers

Medical identifiers for Chevi Brooke Lynn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528898491	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	229994 (Arkansas)	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. Chevi Brooke Lynn Moore allows following entities to bill medicare on her behalf.

Entity Name	Community Wound Resource Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851924625 PECOS PAC ID: 2860831948 Enrollment ID: O20240423000577

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. Chevi Brooke Lynn 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
Chevi Brooke Lynn Moore, FNP-C Po Box 41, Fouke, AR 71837-0041 Ph: (870) 648-9300	Chevi Brooke Lynn Moore, FNP-C 1600 S Henderson Blvd, Kilgore, TX 75662-3518 Ph: (903) 215-3149

Reviews and Comments

Nurse Practitioner Nurses in Kilgore, TX

Jolyn Kaye Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1016 N Kilgore St, Kilgore, TX 75662 Phone: 903-522-4199 Fax: 903-522-4015
Tracey Lynn Bruner, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-475-3474 Fax: 903-367-0300
Mr. Christopher Kirk Bailey, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 Fax: 903-984-3783
Valerie Michelle Vaughn-smith, APRN,MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3105 Rockbrook Dr, Kilgore, TX 75662 Phone: 903-812-0684
Allyson Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 E Lantrip St, Kilgore, TX 75662 Phone: 903-983-0081 Fax: 903-983-0082
April Luquette, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-215-3149 Fax: 903-367-0300
Ashley Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110

Chevi Brooke Lynn Moore, FNP-C - Medicare Nurse Practitioner in Kilgore, TX