Lisa Moore, in Orange, CA - Medicare Nurse Anesthetist, Certified Registered

Lisa Moore, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Orange, California. Her current practice location is 1481 Meads, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 420-6516.

Lisa Moore is licensed to practice in California (license number 95000411) 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 1679955801.

Contact Information

	Lisa Moore,
	1481 Meads, Orange, CA 92869
	(714) 420-6516
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Moore
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1481 Meads, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679955801
Provider Enumeration Date: 06/24/2015
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9739485228
Enrollment ID: I20160309001483

Medical Identifiers

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

Identifier	Type	State	Issuer
1679955801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95000411 (California)	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. Lisa Moore allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	San Gabriel Anesthesia Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538424908 PECOS PAC ID: 3678720604 Enrollment ID: O20120828000023

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. Lisa 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
Lisa Moore, 1482 Meads, Orange, CA 92869 Ph: () -	Lisa Moore, 1481 Meads, Orange, CA 92869 Ph: (714) 420-6516

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Orange, CA

Miranda G Ideal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812
Dr. Nicole Christine Creef, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888
Amy Louise Owens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890
Kaitlin Dempsey, DNP, CRNA, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890
Lucia Webster, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888
Hai Ly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890
Jason Lee Malig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890

Lisa Moore, - Medicare Nurse Anesthetist, Certified Registered in Orange, CA