Lonnie L Moore, NP in Marks, MS - Medicare Nurse Practitioner

Lonnie L Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Marks, Mississippi. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Delta Medical Foundation and his current practice location is 1022 Martin Luther King Dr, Marks, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 326-3500.

Lonnie L Moore is licensed to practice in Mississippi (license number 901567) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962852988.

Contact Information

	Lonnie L Moore, NP
	1022 Martin Luther King Dr, Marks, MS 38646-1832
	(662) 326-3500
	(901) 756-5564

Map and Direction

Provider's Profile

Full Name	Lonnie L Moore
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	1022 Martin Luther King Dr, Marks, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lonnie L Moore graduated from nursing school in 2016

NPI Data:

NPI Number: 1962852988
Provider Enumeration Date: 06/21/2016
Last Update Date: 08/02/2016

Medicare PECOS Information:

PECOS PAC ID: 8820386451
Enrollment ID: I20161013001187

Medical Identifiers

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

Identifier	Type	State	Issuer
1962852988	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	901567 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Delta Medical Foundation	2163777046	8

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. Lonnie L Moore allows following entities to bill medicare on his behalf.

Entity Name	Delta Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508363060 PECOS PAC ID: 2163777046 Enrollment ID: O20180618001135

Entity Name	Ridgeland Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053917849 PECOS PAC ID: 9032524400 Enrollment ID: O20210217000175

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. Lonnie L 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
Lonnie L Moore, NP 1022 Martin Luther King Dr, Marks, MS 38646-1832 Ph: (166) 232-6350	Lonnie L Moore, NP 1022 Martin Luther King Dr, Marks, MS 38646-1832 Ph: (662) 326-3500

Reviews and Comments

Nurse Practitioner Nurses in Marks, MS

Seng P Pang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Getwell St, Marks, MS 38646 Phone: 662-902-7531
Mr. George Edward Farrell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 Poplar Street, Marks, MS 38646 Phone: 662-326-9232 Fax: 662-326-8851
Ms. Lea Ann Byrd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1024 Martin Luther King Dr, Marks, MS 38646 Phone: 662-326-3500
Jacquelyn Roxane Ainsworth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1024 Martin Luther King Dr, Marks, MS 38646 Phone: 662-326-3500
April Nichols, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Getwell St, Marks, MS 38646 Phone: 662-388-0751
Mrs. Patsy Ann Thompson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Getwell St, Marks, MS 38646 Phone: 662-326-8031 Fax: 662-326-8560

Lonnie L Moore, NP - Medicare Nurse Practitioner in Marks, MS