Diane Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Berwyn, IL

Diane Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Berwyn, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Indiana Llc and her current practice location is 3249 Oak Park Ave, Berwyn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 783-9100.

Diane Moore is licensed to practice in Illinois (license number 041333067) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619222866.

Contact Information

Diane Moore, CRNA
3249 Oak Park Ave,
Berwyn, IL 60402-3429
(708) 783-9100
Not Available

Map and Direction




Provider's Profile

Full NameDiane Moore
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location3249 Oak Park Ave, Berwyn, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Diane Moore graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1619222866
  • Provider Enumeration Date: 07/13/2012
  • Last Update Date: 07/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7113170549
  • Enrollment ID: I20130529000273

Medical Identifiers

Medical identifiers for Diane Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619222866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 041333067 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Health DyerDyer, INHospital
Franciscan Health MunsterMunster, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Of Indiana Llc1153576905106

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. Diane Moore allows following entities to bill medicare on her behalf.
Entity NameSt Catherine Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396847596
PECOS PAC ID: 1052225604
Enrollment ID: O20031118000149
Entity NameMunster Medical Research Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982653044
PECOS PAC ID: 8123913183
Enrollment ID: O20040623000905
Entity NameNorthstar Anesthesia Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561541
PECOS PAC ID: 1153576905
Enrollment ID: O20130227000297

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. Diane 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 AddressPractice Location Address
Diane Moore, CRNA
68 S Service Rd, Suite 350,
Melville, NY 11747-2354

Ph: () -
Diane Moore, CRNA
3249 Oak Park Ave,
Berwyn, IL 60402-3429

Ph: (708) 783-9100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Berwyn, IL

Telma Karerakattil, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-785-3545    
Stanley Ansel Kristiansen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-3013    
Jessica Hubl, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 773-818-1132    
Tita J Jacildo, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402
Phone: 708-783-3667    
Elma Divinagracia, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402
Phone: 708-783-3667    
Bridget Prendergast,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-9100    
Yoojung Kang, MSN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-2226    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.