Mary Kate Moore, APRN, FNP-BC - Medicare Nurse Practitioner in Jacksboro, TN

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Mary Kate Moore, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jacksboro, Tennessee. Her current practice location is 2707 Jacksboro Pike, Suite 1a, Jacksboro, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 907-8186.

Mary Kate Moore is licensed to practice in Tennessee (license number 17793) 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 1457793382.

Contact Information

Mary Kate Moore, APRN, FNP-BC
2707 Jacksboro Pike, Suite 1a,
Jacksboro, TN 37757-2752
(423) 907-8186
(423) 907-8187

Map and Direction




Provider's Profile

Full NameMary Kate Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location2707 Jacksboro Pike, Jacksboro, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457793382
  • Provider Enumeration Date: 07/19/2013
  • Last Update Date: 10/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5496998213
  • Enrollment ID: I20130827000356

Medical Identifiers

Medical identifiers for Mary Kate Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457793382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 17793 (Tennessee)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. Mary Kate Moore allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457323164
PECOS PAC ID: 2961428990
Enrollment ID: O20051019000798
Entity NameRenovation Health And Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336561943
PECOS PAC ID: 7113140294
Enrollment ID: O20140516001713

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. Mary Kate 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
Mary Kate Moore, APRN, FNP-BC
1409 Bruce Gap Rd,
Caryville, TN 37714-3832

Ph: () -		Mary Kate Moore, APRN, FNP-BC
2707 Jacksboro Pike, Suite 1a,
Jacksboro, TN 37757-2752

Ph: (423) 907-8186

Reviews and Comments


Nurse Practitioner Nurses in Jacksboro, TN

Anthony M. Kingsley, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 163 Perkins Ln, Jacksboro, TN 37757
Phone: 423-500-9140    Fax: 423-435-0828
Stacy Jean Riggs, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757
Phone: 423-562-4149    Fax: 423-566-6929
April D Rodriguez, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757
Phone: 423-562-4149    
Katherine Gresham, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    
Amy Young, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    Fax: 865-567-4722
John Wesley Smiddy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    Fax: 423-567-4722
Jennifer Riley,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    

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.