Ms Donna Marie Lodge-moore, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Everett, WA

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Ms Donna Marie Lodge-moore, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Everett, Washington. Her current practice location is 15 Sw Everett Mall Way Ste A, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (504) 352-2565.

Ms Donna Marie Lodge-moore is licensed to practice in Texas (license number AP120751) 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 1154609295.

Contact Information

Ms Donna Marie Lodge-moore, MSN, APRN, FNP-C
15 Sw Everett Mall Way Ste A,
Everett, WA 98204-2715
(504) 352-2565
Not Available

Map and Direction




Provider's Profile

Full NameMs Donna Marie Lodge-moore
GenderFemale
SpecialityNurse Practitioner - Family
Location15 Sw Everett Mall Way Ste A, Everett, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154609295
  • Provider Enumeration Date: 07/22/2011
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789849670
  • Enrollment ID: I20120627000087

Medical Identifiers

Medical identifiers for Ms Donna Marie Lodge-moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154609295NPI-NPPES
2305999MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 526019 (New York)Secondary
363LF0000XNurse Practitioner - Family AP06526 (Louisiana)Secondary
363LF0000XNurse Practitioner - Family 21284 (California)Secondary
363LF0000XNurse Practitioner - Family AP60359515 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 21284 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP60359615 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP120751 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 402939 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP60359515 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP06526 (Louisiana)Secondary
363LF0000XNurse Practitioner - Family AP120751 (Texas)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 Marie Lodge-moore allows following entities to bill medicare on her behalf.
Entity NameRestorixhealth At-home Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255974689
PECOS PAC ID: 8123455011
Enrollment ID: O20200306000187
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210210001575
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20220221001681
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336153295
PECOS PAC ID: 9234041948
Enrollment ID: O20240715004325

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 Marie Lodge-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 AddressPractice Location Address
Ms Donna Marie Lodge-moore, MSN, APRN, FNP-C
1132 Carmadelle St,
Marrero, LA 70072-2646

Ph: (504) 352-2565		Ms Donna Marie Lodge-moore, MSN, APRN, FNP-C
15 Sw Everett Mall Way Ste A,
Everett, WA 98204-2715

Ph: (504) 352-2565

Reviews and Comments


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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.