Donna H Moore, NP-C - Medicare Nurse Practitioner in Summersville, WV

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Donna H Moore, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Summersville, West Virginia. Her current practice location is 211 Merchants Walk, Summersville, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 872-9455.

Donna H Moore is licensed to practice in West Virginia (license number 48550) 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 1073760864.

Contact Information

Donna H Moore, NP-C
211 Merchants Walk,
Summersville, WV 26651-1901
(304) 872-9455
Not Available

Map and Direction




Provider's Profile

Full NameDonna H Moore
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location211 Merchants Walk, Summersville, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073760864
  • Provider Enumeration Date: 08/22/2008
  • Last Update Date: 10/31/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0941357396
  • Enrollment ID: I20090422000157

Medical Identifiers

Medical identifiers for Donna H Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073760864NPI-NPPES
0035222000MedicaidWV
48550OtherWVLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 48550 (West Virginia)Secondary
363LP2300XNurse Practitioner - Primary Care 48550 (West Virginia)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. Donna H Moore allows following entities to bill medicare on her behalf.
Entity NameSummersville Family Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437426780
PECOS PAC ID: 6103084512
Enrollment ID: O20120214000783
Entity NameWest Virginia Health Care Cooperative Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417415324
PECOS PAC ID: 9830431030
Enrollment ID: O20190508000440
Entity NameWest Virginia Health Care Cooperative Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1043778319
PECOS PAC ID: 9830431030
Enrollment ID: O20190531001788

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. Donna H 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
Donna H Moore, NP-C
Po Box 1049,
Lewisburg, WV 24901-4049

Ph: (304) 645-4043		Donna H Moore, NP-C
211 Merchants Walk,
Summersville, WV 26651-1901

Ph: (304) 872-9455

Reviews and Comments


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Mrs. Jessica Ann Reigel, APRN
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Phone: 304-872-7600    
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Amy Mann,
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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.