Mr Mark Moore, CFNP in Meridian, MS - Medicare Nurse Practitioner

Mr Mark Moore, CFNP is a medicare enrolled "Nurse Practitioner" in Meridian, Mississippi. He graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cardiovascular Institute Of The South, Llc and his current practice location is 1600 22nd Ave, Medical Towers Iii, Meridian, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 483-5322.

Mr Mark Moore is licensed to practice in Mississippi (license number R669059) 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 1962489567.

Contact Information

	Mr Mark Moore, CFNP
	1600 22nd Ave, Medical Towers Iii, Meridian, MS 39301-3223
	(601) 483-5322
	(601) 581-2289

Map and Direction

Provider's Profile

Full Name	Mr Mark Moore
Gender	Male
Speciality	Nurse Practitioner
Experience	27 Years
Location	1600 22nd Ave, Meridian, Mississippi
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:

Mr Mark Moore graduated from nursing school in 1997

NPI Data:

NPI Number: 1962489567
Provider Enumeration Date: 12/27/2005
Last Update Date: 06/02/2011

Medicare PECOS Information:

PECOS PAC ID: 4082683610
Enrollment ID: I20040929001051

Medical Identifiers

Medical identifiers for Mr Mark Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962489567	NPI	-	NPPES
02904207	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R669059 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anderson Regional Medical Ctr	Meridian, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardiovascular Institute Of The South, Llc	3779497441	129

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. Mr Mark Moore allows following entities to bill medicare on his behalf.

Entity Name	Cardiovascular Institute Of The South, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982689113 PECOS PAC ID: 3779497441 Enrollment ID: O20160825001958

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. Mr Mark 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
Mr Mark Moore, CFNP 1600 22nd Ave, Medical Towers Iii, Meridian, MS 39301-3223 Ph: (601) 483-5322	Mr Mark Moore, CFNP 1600 22nd Ave, Medical Towers Iii, Meridian, MS 39301-3223 Ph: (601) 483-5322

Reviews and Comments

Nurse Practitioner Nurses in Meridian, MS

Amanda Danielle Simpson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700
Jennifer Lynn Webb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 329 Jeffery Acres Rd, Meridian, MS 39301 Phone: 601-527-6584
Gail Beard, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1730 14th Street, Suite C, Meridian, MS 39301 Phone: 601-703-9396
Mrs. Celeste M Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Hills St Apt 607, #607, Meridian, MS 39305 Phone: 601-282-5429
Mrs. Karen Faye Deese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 20th Ave Ste D, Meridian, MS 39301 Phone: 601-703-8450 Fax: 601-703-8459
Patti Suzanne Weaver, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-4065 Fax: 601-703-3050
Lekica Roshelle Boyd, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000

Mr Mark Moore, CFNP - Medicare Nurse Practitioner in Meridian, MS