Misti Dawn Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Troy, Kansas. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Meritas Health Corporation and her current practice location is
207 S Main St, Troy, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 985-2211.
Misti Dawn Moore is licensed to practice in Kansas (license number 78441) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558851329.
Provider's Profile
| Full Name | Misti Dawn Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 207 S Main St, Troy, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Misti Dawn Moore graduated from nursing school in 2018
NPI Data:
- NPI Number: 1558851329
- Provider Enumeration Date: 05/16/2018
- Last Update Date: 04/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890042097
- Enrollment ID: I20180719000234
Medical Identifiers
Medical identifiers for Misti Dawn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558851329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2018015530 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 78441 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Meritas Health Corporation | 6305748153 | 434 |
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. Misti Dawn Moore allows following entities to bill medicare on her behalf.
| Entity Name | Meritas Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801875091
PECOS PAC ID: 6305748153
Enrollment ID: O20040122001058 |
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| Entity Name | Minuteclinic Diagnostic Of Kansas Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629005558
PECOS PAC ID: 7416043807
Enrollment ID: O20071017000125 |
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| Entity Name | Restore Muscle And Joint, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962767061
PECOS PAC ID: 9830346824
Enrollment ID: O20120827000438 |
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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. Misti Dawn 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 |
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Misti Dawn Moore, FNP
5301 Faraon St Ste 120,
Saint Joseph, MO 64506-3512
Ph: (816) 271-1066 | Misti Dawn Moore, FNP
207 S Main St,
Troy, KS 66087-4017
Ph: (785) 985-2211 |
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