Mrs Whitney Jackson Moore, APRN is a medicare enrolled "Nurse Practitioner" in Lobelville, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chelsey Sparks Dba Decaturville Family Practice and her current practice location is
236 N Main St, Lobelville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 593-2277.
Mrs Whitney Jackson Moore is licensed to practice in Tennessee (license number 23428) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1427560531.
Provider's Profile
Full Name | Mrs Whitney Jackson Moore |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 236 N Main St, Lobelville, Tennessee |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Whitney Jackson Moore graduated from nursing school in 2017
NPI Data:
- NPI Number: 1427560531
- Provider Enumeration Date: 10/30/2017
- Last Update Date: 10/30/2017
Medicare PECOS Information:
- PECOS PAC ID: 4587927538
- Enrollment ID: I20180404002359
Medical Identifiers
Medical identifiers for Mrs Whitney Jackson Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427560531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 23428 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Chelsey Sparks Dba Decaturville Family Practice | 3971872284 | 3 |
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 Whitney Jackson Moore allows following entities to bill medicare on her behalf.
Entity Name | Chelsey Sparks Dba Decaturville Family Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730610452 PECOS PAC ID: 3971872284 Enrollment ID: O20170629002334 |
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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. Mrs Whitney Jackson 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 Whitney Jackson Moore, APRN Po Box 219, Lobelville, TN 37097-0219 Ph: (931) 593-2277 | Mrs Whitney Jackson Moore, APRN 236 N Main St, Lobelville, TN 37097-3296 Ph: (931) 593-2277 |
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