Michelle Moore, - Medicare Nurse Practitioner in New York, NY

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Michelle Moore, is a medicare enrolled "Nurse Practitioner - Primary Care" in New York, New York. Her current practice location is 632 Broadway Ph 12, New York, New York. You can reach out to her office (for appointments etc.) via phone at (347) 294-3414.

Michelle Moore is licensed to practice in Illinois (license number 209.014876) 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 1043769268.

Contact Information

Michelle Moore,
632 Broadway Ph 12,
New York, NY 10012-2614
(347) 294-3414
(205) 332-1383

Map and Direction




Provider's Profile

Full NameMichelle Moore
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location632 Broadway Ph 12, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043769268
  • Provider Enumeration Date: 09/29/2016
  • Last Update Date: 09/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880974344
  • Enrollment ID: I20161130000148

Medical Identifiers

Medical identifiers for Michelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043769268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209.014876 (Illinois)Secondary
363LG0600XNurse Practitioner - Gerontology 209.014876 (Illinois)Secondary
363LP2300XNurse Practitioner - Primary Care 209.014876 (Illinois)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. Michelle Moore allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Chicago
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameThe University Of Chicago Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031113000198
Entity NameHoward Brown Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306048632
PECOS PAC ID: 1052203155
Enrollment ID: O20040325000526

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. Michelle 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
Michelle Moore,
632 Broadway Ph 12,
New York, NY 10012-2614

Ph: (347) 294-3414		Michelle Moore,
632 Broadway Ph 12,
New York, NY 10012-2614

Ph: (347) 294-3414

Reviews and Comments


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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.

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