Ms Annie R Moon, NP - Medicare Nurse Practitioner in Chinle, AZ

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Ms Annie R Moon, NP is a medicare enrolled "Nurse Practitioner" in Chinle, Arizona. Her current practice location is Off Hwy 191 Hospital Road, Chinle, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 674-7001.

Ms Annie R Moon is licensed to practice in Arizona (license number AP1827) 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 1548396591.

Contact Information

Ms Annie R Moon, NP
Off Hwy 191 Hospital Road,
Chinle, AZ 86503
(928) 674-7001
(928) 674-7705

Map and Direction




Provider's Profile

Full NameMs Annie R Moon
GenderFemale
SpecialityNurse Practitioner
LocationOff Hwy 191 Hospital Road, Chinle, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548396591
  • Provider Enumeration Date: 02/26/2007
  • Last Update Date: 07/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9436180791
  • Enrollment ID: I20050825001018

Medical Identifiers

Medical identifiers for Ms Annie R Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548396591NPI-NPPES
956451MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP1827 (Arizona)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. Ms Annie R Moon allows following entities to bill medicare on her behalf.
Entity NameDhhs Phs Naihs Chinle Comprehensive Health Care Facility
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508800129
PECOS PAC ID: 9436062585
Enrollment ID: O20031106000210
Entity NameSandstone Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265193916
PECOS PAC ID: 6204202559
Enrollment ID: O20250507003293

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 Annie R Moon 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 AddressPractice Location Address
Ms Annie R Moon, NP
Po Drawer Ph,
Chinle, AZ 86503

Ph: (928) 674-7001		Ms Annie R Moon, NP
Off Hwy 191 Hospital Road,
Chinle, AZ 86503

Ph: (928) 674-7001

Reviews and Comments


Nurse Practitioner Nurses in Chinle, AZ

Jacqueline Selig, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503
Phone: 928-674-7166    Fax: 928-674-7705
Gail Ratko, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503
Phone: 928-674-7166    Fax: 928-674-7705
Samantha Austin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: U.s. 191 & Hospital Drive, Chinle, AZ 86503
Phone: 928-674-7001    
Ms. Sandra Dodge, APRN,BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Highway 191 And Ph Drive, Chinle, AZ 86503
Phone: 928-674-7420    Fax: 928-674-7461
Mrs. Marie Atamene Charles, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Highway 191 & Hospital Drive, Chinle, AZ 86503
Phone: 928-674-7655    
Henrietta J Yazzie,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Highway 191, Chinle, AZ 86503
Phone: 928-674-7001    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.