Ms Misty Jane Moore, CRNA in Dallas, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Misty Jane Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Iii Pa and her current practice location is 6606 Lbj Fwy Ste 200, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 715-5000.

Ms Misty Jane Moore is licensed to practice in Texas (license number AP145429) 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 1093055188.

Contact Information

	Ms Misty Jane Moore, CRNA
	6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524
	(972) 715-5000
	(972) 715-9976

Map and Direction

Provider's Profile

Full Name	Ms Misty Jane Moore
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	6606 Lbj Fwy Ste 200, Dallas, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Misty Jane Moore graduated from nursing school in 2012

NPI Data:

NPI Number: 1093055188
Provider Enumeration Date: 02/26/2013
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8123264231
Enrollment ID: I20200518002675

Medical Identifiers

Medical identifiers for Ms Misty Jane Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093055188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN3347012 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP145429 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Longview Regional Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Iii Pa	0042630501	347

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. Ms Misty Jane Moore allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Ms Misty Jane 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
Ms Misty Jane Moore, CRNA 429 Evening Shadows Trl, Holly Lake Ranch, TX 75765-6346 Ph: (903) 832-9566	Ms Misty Jane Moore, CRNA 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 Ph: (972) 715-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dallas, TX

Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Abigail Pinto Wood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976

Ms Misty Jane Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dallas, TX