Ms Lindsay Grace Moore, CRNA in New London, CT - Medicare Nurse Anesthetist, Certified Registered

Ms Lindsay Grace Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New London, Connecticut. Her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0711.

Ms Lindsay Grace Moore is licensed to practice in Connecticut (license number 10717) 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 1154959765.

Contact Information

	Ms Lindsay Grace Moore, CRNA
	365 Montauk Ave, New London, CT 06320-4700
	(860) 442-0711
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Lindsay Grace Moore
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	365 Montauk Ave, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154959765
Provider Enumeration Date: 03/30/2020
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 9234510306
Enrollment ID: I20220720002900

Medical Identifiers

Medical identifiers for Ms Lindsay Grace Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154959765	NPI	-	NPPES
1154959765	Medicaid	CT
1154959765	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN9511006 (Florida)	Secondary
207L00000X	Anesthesiology	277039 (Arizona)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	11019518 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	277039 (Arizona)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	10717 (Connecticut)	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. Ms Lindsay Grace Moore allows following entities to bill medicare on her behalf.

Entity Name	Integrated Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

Entity Name	North American Partners In Anesthesia Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316994775 PECOS PAC ID: 6709877939 Enrollment ID: O20040519000120

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. Ms Lindsay Grace 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
Ms Lindsay Grace Moore, CRNA 1154 Hill St, Bristol, CT 06010-2256 Ph: (860) 751-2761	Ms Lindsay Grace Moore, CRNA 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in New London, CT

Judith Ann Mcgannon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk, Lawrence And Memorial Hospital, New London, CT 06320 Phone: 860-442-0711
Tara M Huta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998
Sharon B Gallipeau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Thomas Scott Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Jolene Marie Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 206-384-6204
Jana Marlene Ott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 203-688-0715 Fax: 475-246-9062
Stefanie Guarino, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998

Ms Lindsay Grace Moore, CRNA - Medicare Nurse Anesthetist, Certified Registered in New London, CT