Kristin Moudry, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Berry, Alabama. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fmc Medical Clinic Millport, Fmc Medical Clinic - Fayette Llc, Fmc Medical Clinic-berry Llc and her current practice location is
32 School Ave, Berry, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 689-0917.
Kristin Moudry is licensed to practice in Alabama (license number 1-122592) 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 1720568363.
Provider's Profile
| Full Name | Kristin Moudry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 32 School Ave, Berry, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kristin Moudry graduated from nursing school in 2018
NPI Data:
- NPI Number: 1720568363
- Provider Enumeration Date: 08/14/2018
- Last Update Date: 02/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002150711
- Enrollment ID: I20181206003578
Medical Identifiers
Medical identifiers for Kristin Moudry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720568363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 1-122592 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Fmc Medical Clinic Millport | 8820395809 | 5 |
| Fmc Medical Clinic - Fayette Llc | 3375894041 | 6 |
| Fmc Medical Clinic-berry Llc | 5890167696 | 3 |
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. Kristin Moudry allows following entities to bill medicare on her behalf.
| Entity Name | Internal Medicine Associates Of Tuscaloosa, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225146004 PECOS PAC ID: 6800813957 Enrollment ID: O20051027000777 |
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| Entity Name | Fmc Medical Clinic Millport |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063871184 PECOS PAC ID: 8820395809 Enrollment ID: O20160318002095 |
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| Entity Name | Fmc Medical Clinic - Fayette Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588141063 PECOS PAC ID: 3375894041 Enrollment ID: O20180919000668 |
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| Entity Name | Fmc Medical Clinic-berry Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588376800 PECOS PAC ID: 5890167696 Enrollment ID: O20230203001180 |
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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. Kristin Moudry 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 |
Kristin Moudry, CRNP 100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300 Ph: (205) 349-4200 | Kristin Moudry, CRNP 32 School Ave, Berry, AL 35546-2246 Ph: (205) 689-0917 |
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