John A Moore, CRNA in Nogales, AZ - Medicare Nurse Anesthetist, Certified Registered

John A Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Nogales, Arizona. His current practice location is 1171 W Target Range Rd, Nogales, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 287-4747.

John A Moore is licensed to practice in Arizona (license number CRNA1063) 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 1528028537.

Contact Information

	John A Moore, CRNA
	1171 W Target Range Rd, Nogales, AZ 85621-2415
	(520) 287-4747
	Not Available

Map and Direction

Provider's Profile

Full Name	John A Moore
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1171 W Target Range Rd, Nogales, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528028537
Provider Enumeration Date: 03/24/2006
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 7810987138
Enrollment ID: I20170518000744

Medical Identifiers

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

Identifier	Type	State	Issuer
1528028537	NPI	-	NPPES
02373882	Medicaid	NM
P00347089	Other		RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R53384 (New Mexico)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA1063 (Arizona)	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. John A Moore allows following entities to bill medicare on his behalf.

Entity Name	Bisbee Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007

Entity Name	Tucson Physician Group Holdings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261

Entity Name	Tucson Ambulatory Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972291235 PECOS PAC ID: 9931566619 Enrollment ID: O20230612002148

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. John A 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
John A Moore, CRNA 3501 E Speedway Blvd, Tucson, AZ 85716-3917 Ph: (520) 833-5171	John A Moore, CRNA 1171 W Target Range Rd, Nogales, AZ 85621-2415 Ph: (520) 287-4747

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Nogales, AZ

Mr. Stephen A Henefield, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-8010
Amos Herr Wilkinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000
James Lindsey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348
Leon Francis Deisering, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348
Carolyn Frances Kenngott, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000
Nathan Alan Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000

John A Moore, CRNA - Medicare Nurse Anesthetist, Certified Registered in Nogales, AZ