Mrs Shawntel Marie Moore, ARNP, FNP-C in Lafayette, LA

Mrs Shawntel Marie Moore, ARNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Louisiana. Her current practice location is 300 W Saint Mary Blvd, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 233-6593.

Mrs Shawntel Marie Moore is licensed to practice in Louisiana (license number AP07239) 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 1053652644.

Contact Information

	Mrs Shawntel Marie Moore, ARNP, FNP-C
	300 W Saint Mary Blvd, Lafayette, LA 70506-4638
	(337) 233-6593
	(337) 235-1032

Map and Direction

Provider's Profile

Full Name	Mrs Shawntel Marie Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	300 W Saint Mary Blvd, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053652644
Provider Enumeration Date: 03/07/2013
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 0648577718
Enrollment ID: I20160502000673

Medical Identifiers

Medical identifiers for Mrs Shawntel Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053652644	NPI	-	NPPES
2348175	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP07239 (Louisiana)	Primary
363L00000X	Nurse Practitioner	AP07239 (Louisiana)	Secondary

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 Shawntel Marie Moore allows following entities to bill medicare on her behalf.

Entity Name	Acadiana Renal Physicians Amc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992747349 PECOS PAC ID: 5890783070 Enrollment ID: O20040505000949

Entity Name	Ahs Walk In Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639234495 PECOS PAC ID: 1456390798 Enrollment ID: O20050427000289

Entity Name	Hulin Urgent Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537

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 Shawntel Marie 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 Shawntel Marie Moore, ARNP, FNP-C 300 W Saint Mary Blvd, Lafayette, LA 70506-4638 Ph: (337) 233-6593	Mrs Shawntel Marie Moore, ARNP, FNP-C 300 W Saint Mary Blvd, Lafayette, LA 70506-4638 Ph: (337) 233-6593

Reviews and Comments

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Mrs Shawntel Marie Moore, ARNP, FNP-C - Medicare Nurse Practitioner in Lafayette, LA