Mariah K Moore, - Medicare Nurse Practitioner in Harrison, MI

  1. Home
  2. Nurse Practitioner
  3. MI
  4. Harrison
Mariah K Moore, is a medicare enrolled "Nurse Practitioner - Family" in Harrison, Michigan. Her current practice location is 815 N Clare Ave, Harrison, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 539-4434.

Mariah K Moore is licensed to practice in Michigan (license number 4704311259) 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 1003539388.

Contact Information

Mariah K Moore,
815 N Clare Ave,
Harrison, MI 48625-8176
(989) 539-4434
Not Available

Map and Direction




Provider's Profile

Full NameMariah K Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location815 N Clare Ave, Harrison, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003539388
  • Provider Enumeration Date: 09/22/2022
  • Last Update Date: 11/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800262494
  • Enrollment ID: I20221024001014

Medical Identifiers

Medical identifiers for Mariah K Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003539388NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704311259 (Michigan)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. Mariah K Moore allows following entities to bill medicare on her behalf.
Entity NameMymichigan Medical Center Clare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134394026
PECOS PAC ID: 7012829773
Enrollment ID: O20080721000628

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. Mariah K 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 AddressPractice Location Address
Mariah K Moore,
4000 Wellness Dr,
Midland, MI 48670-2000

Ph: (989) 839-3000		Mariah K Moore,
815 N Clare Ave,
Harrison, MI 48625-8176

Ph: (989) 539-4434

Reviews and Comments


Nurse Practitioner Nurses in Harrison, MI

Connie D Knapper, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 741 Richard Dr, Harrison, MI 48625
Phone: 989-539-6421    Fax: 989-539-1180
Deanna Lee Losey,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 751 State Rd, Harrison, MI 48625
Phone: 248-939-2455    
Amanda Fetterolf, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 815 N Clare Ave Ste B, Harrison, MI 48625
Phone: 989-539-6731    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.