Moira S Duverneau-salifu, NP-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Joplin, Missouri. Her current practice location is
3001 Saint Johns Blvd, Joplin, Missouri. You can reach out to her office (for appointments etc.) via phone at
(952) 451-2356.
Moira S Duverneau-salifu is licensed to practice in Missouri (license number ) 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 1013284967.
Provider's Profile
| Full Name | Moira S Duverneau-salifu |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3001 Saint Johns Blvd, Joplin, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013284967
- Provider Enumeration Date: 11/21/2011
- Last Update Date: 08/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951568575
- Enrollment ID: I20250513000639
Medical Identifiers
Medical identifiers for Moira S Duverneau-salifu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013284967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 26NJ00342000 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Missouri) | 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. Moira S Duverneau-salifu allows following entities to bill medicare on her behalf.
| Entity Name | Matrix Medical Plus |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20220821000028 |
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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. Moira S Duverneau-salifu 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 |
|---|
Moira S Duverneau-salifu, NP-C
Kcu Oral Health Center, 3001 St. John's Blvd,
Joplin, MO 64804
Ph: (952) 451-2356 | Moira S Duverneau-salifu, NP-C
3001 Saint Johns Blvd,
Joplin, MO 64804-1884
Ph: (952) 451-2356 |
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