Justin Thomas Moore, APRN in Tacoma, WA - Medicare Nurse Practitioner

Justin Thomas Moore, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tacoma, Washington. His current practice location is 503 E 26th St, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 881-7001.

Justin Thomas Moore is licensed to practice in Washington (license number AP61668130) 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 1275336893.

Contact Information

	Justin Thomas Moore, APRN
	503 E 26th St, Tacoma, WA 98421-1343
	(253) 881-7001
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin Thomas Moore
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	503 E 26th St, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275336893
Provider Enumeration Date: 03/29/2025
Last Update Date: 03/29/2025

Medicare PECOS Information:

PECOS PAC ID: 4183142011
Enrollment ID: I20250515000126

Medical Identifiers

Medical identifiers for Justin Thomas Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275336893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61668130 (Washington)	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. Justin Thomas Moore allows following entities to bill medicare on his behalf.

Entity Name	Revive Pathway
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962117440 PECOS PAC ID: 4284081639 Enrollment ID: O20240924001884

Entity Name	Puyallup Tribal Opioid Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992582613 PECOS PAC ID: 4486096377 Enrollment ID: O20241029002291

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. Justin Thomas 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
Justin Thomas Moore, APRN 503 E 26th St, Tacoma, WA 98421-1343 Ph: (253) 881-7001	Justin Thomas Moore, APRN 503 E 26th St, Tacoma, WA 98421-1343 Ph: (253) 881-7001

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191

Justin Thomas Moore, APRN - Medicare Nurse Practitioner in Tacoma, WA