Jonathan Kurtis Moore, CRNA in Anchorage, AK - Medicare Nurse Anesthetist, Certified Registered

Jonathan Kurtis Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Anchorage, Alaska. His current practice location is 4315 Diplomacy Dr, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 563-2662.

Jonathan Kurtis Moore is licensed to practice in Alaska (license number 199497) 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 1134842172.

Contact Information

	Jonathan Kurtis Moore, CRNA
	4315 Diplomacy Dr, Anchorage, AK 99508-5926
	(907) 563-2662
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Kurtis Moore
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4315 Diplomacy Dr, Anchorage, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134842172
Provider Enumeration Date: 09/23/2022
Last Update Date: 10/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1254708290
Enrollment ID: I20221104001000

Medical Identifiers

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

Identifier	Type	State	Issuer
1134842172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	197941 (Alaska)	Secondary
163W00000X	Registered Nurse	439888 (Ohio)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	199497 (Alaska)	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. Jonathan Kurtis Moore allows following entities to bill medicare on his behalf.

Entity Name	Alaska Native Tribal Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

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. Jonathan Kurtis 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
Jonathan Kurtis Moore, CRNA 2111 W Sterling Rd, Burbank, OH 44214-9562 Ph: (330) 749-9474	Jonathan Kurtis Moore, CRNA 4315 Diplomacy Dr, Anchorage, AK 99508-5926 Ph: (907) 563-2662

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Anchorage, AK

Mrs. Jennifer Rae Ambrose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Otis Pkwy, Suite 222, Anchorage, AK 99508 Phone: 612-269-1918
Waldron Upham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Otis Pkwy, Anchorage, AK 99508 Phone: 907-550-6110
Tara Mccutcheon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2801 Debarr Rd, Anchorage, AK 99508 Phone: 801-915-1873
Bucky M Frost, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Attn: Sherry Reedy, Anchorage, AK 99508 Phone: 907-729-3971 Fax: 907-729-1542
Suzanne C Firth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Avenue, Anchorage, AK 99506 Phone: 907-580-1815
Mrs. Alicia Marie Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Clipper Ship Ct, Anchorage, AK 99515 Phone: 907-306-1274
Angela Malcom, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4100 Lake Otis Pkwy, Anchorage, AK 99508 Phone: 907-550-6110

Jonathan Kurtis Moore, CRNA - Medicare Nurse Anesthetist, Certified Registered in Anchorage, AK