Ms Donna A Moore, APRN-C, PMHNP-BC, MS in Gainesville, GA

Ms Donna A Moore, APRN-C, PMHNP-BC, MS is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gainesville, Georgia. Her current practice location is 915 Interstate Ridge Dr, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (516) 493-2203.

Ms Donna A Moore is licensed to practice in Georgia (license number RN241756) 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 1003090150.

Contact Information

	Ms Donna A Moore, APRN-C, PMHNP-BC, MS
	915 Interstate Ridge Dr, Gainesville, GA 30501-7076
	(516) 493-2203
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Donna A Moore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	915 Interstate Ridge Dr, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003090150
Provider Enumeration Date: 12/26/2007
Last Update Date: 03/12/2025

Medicare PECOS Information:

PECOS PAC ID: 1759804438
Enrollment ID: I20250403000446

Medical Identifiers

Medical identifiers for Ms Donna A Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003090150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	5796691 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN241756 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	95029693 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	11034073 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN241756 (Georgia)	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 Donna A Moore allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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 Donna A 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 Donna A Moore, APRN-C, PMHNP-BC, MS 599 Madison Park Dr, Grayson, GA 30017-7940 Ph: (516) 493-2203	Ms Donna A Moore, APRN-C, PMHNP-BC, MS 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 Ph: (516) 493-2203

Reviews and Comments

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Ms Donna A Moore, APRN-C, PMHNP-BC, MS - Medicare Nurse Practitioner in Gainesville, GA