Mrs Lisa S Moore, ARNP, DNP in Destin, FL - Medicare Nurse Practitioner

Mrs Lisa S Moore, ARNP, DNP is a medicare enrolled "Nurse Practitioner - Family" in Destin, Florida. Her current practice location is 4476 Legendary Dr Ste 100, Destin, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 424-7320.

Mrs Lisa S Moore is licensed to practice in Florida (license number ARNP9166216) 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 1730240326.

Contact Information

	Mrs Lisa S Moore, ARNP, DNP
	4476 Legendary Dr Ste 100, Destin, FL 32541-5347
	(850) 424-7320
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa S Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4476 Legendary Dr Ste 100, Destin, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730240326
Provider Enumeration Date: 12/13/2006
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 1052358546
Enrollment ID: I20050415000545

Medical Identifiers

Medical identifiers for Mrs Lisa S Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730240326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9166216 (Florida)	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. Mrs Lisa S Moore allows following entities to bill medicare on her behalf.

Entity Name	Nitin Bawa, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588846257 PECOS PAC ID: 1557386372 Enrollment ID: O20051011000811

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. Mrs Lisa S 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
Mrs Lisa S Moore, ARNP, DNP 4476 Legendary Dr Ste 100, Destin, FL 32541-5347 Ph: (850) 424-7320	Mrs Lisa S Moore, ARNP, DNP 4476 Legendary Dr Ste 100, Destin, FL 32541-5347 Ph: (850) 424-7320

Reviews and Comments

Nurse Practitioner Nurses in Destin, FL

Mrs. Kandyce L Silver, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4495 Furling Ln Ste 210, Destin, FL 32541 Phone: 850-460-8483 Fax: 833-645-0014
Stacey Farrell, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4477 Legendary Dr Ste 201, Destin, FL 32541 Phone: 850-736-1251
Julia Andreyevna Drevinskas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4718 Amhurst Cir, Destin, FL 32541 Phone: 850-225-8499
Dia Bobb, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36468 Emerald Coast Pkwy Ste 7102, Destin, FL 32541 Phone: 850-842-3256 Fax: 850-353-2561
Mrs. Christie Sumrall Levi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Wekiva Cv, Destin, FL 32541 Phone: 850-963-7219
Pamela Ross, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Crystal Beach Dr Unit 137-c, Destin, FL 32541 Phone: 850-226-7100
Susan Ott, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Beach Dr Ste 137c, Destin, FL 32541 Phone: 850-460-7090 Fax: 850-460-7093

Mrs Lisa S Moore, ARNP, DNP - Medicare Nurse Practitioner in Destin, FL