Monte Dale Moore, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family" in Ruston, Louisiana. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Winn Community Health Center, Inc. and his current practice location is
401 E Vaughn Ave, Ruston, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 224-7190.
Monte Dale Moore is licensed to practice in Louisiana (license number 203896) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558829382.
Provider's Profile
| Full Name | Monte Dale Moore |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 401 E Vaughn Ave, Ruston, Louisiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Monte Dale Moore graduated from nursing school in 2018
NPI Data:
- NPI Number: 1558829382
- Provider Enumeration Date: 03/11/2019
- Last Update Date: 06/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 5991030694
- Enrollment ID: I20190717003775
Medical Identifiers
Medical identifiers for Monte Dale Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558829382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 203896 (Louisiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Winn Community Health Center, Inc. | 2567516545 | 48 |
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. Monte Dale Moore allows following entities to bill medicare on his behalf.
| Entity Name | Winn Community Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
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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. Monte Dale 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 |
Monte Dale Moore, APRN Po Box 1288, Winnfield, LA 71483-1288 Ph: (318) 224-7190 | Monte Dale Moore, APRN 401 E Vaughn Ave, Ruston, LA 71270-5950 Ph: (318) 224-7190 |
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