Ms Kendra Moore, PA-C - Medicare Physician Assistant in Passaic, NJ

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Ms Kendra Moore, PA-C is a medicare enrolled "Physician Assistant - Medical" in Passaic, New Jersey. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dimerhealth Medical Practice, Optum Medical Care Of New Jersey Pc, Dimerhealth Medical Practice and her current practice location is 350 Boulevard, Passaic, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 365-4300.

Ms Kendra Moore is licensed to practice in New Jersey (license number 25MP00398900) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346690583.

Contact Information

Ms Kendra Moore, PA-C
350 Boulevard,
Passaic, NJ 07055-2840
(973) 365-4300
Not Available

Map and Direction




Provider's Profile

Full NameMs Kendra Moore
GenderFemale
SpecialityPhysician Assistant
Experience13 Years
Location350 Boulevard, Passaic, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kendra Moore graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1346690583
  • Provider Enumeration Date: 06/19/2016
  • Last Update Date: 06/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8224322789
  • Enrollment ID: I20160805000329

Medical Identifiers

Medical identifiers for Ms Kendra Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346690583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 25MP00398900 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dimerhealth Medical Practice599116225729
Optum Medical Care Of New Jersey Pc3072650290168
Dimerhealth Medical Practice599116225729

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 Kendra Moore allows following entities to bill medicare on her behalf.
Entity NameEmergency Physicians of Saint Clares LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366517856
PECOS PAC ID: 1557253713
Enrollment ID: O20041216000147
Entity NameOptum Medical Care of New Jersey PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129
Entity NameDoctors Office of West Caldwell LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144524786
PECOS PAC ID: 7416130448
Enrollment ID: O20110329000053
Entity NameEmergency Associates of St Marys LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477063329
PECOS PAC ID: 4183982663
Enrollment ID: O20171212000887
Entity NameDimerhealth Medical Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285338483
PECOS PAC ID: 5991162257
Enrollment ID: O20230601002587

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 Kendra 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 Kendra Moore, PA-C
9 Vose Ave, Apartment 215,
South Orange, NJ 07079-2007

Ph: (973) 508-5298		Ms Kendra Moore, PA-C
350 Boulevard,
Passaic, NJ 07055-2840

Ph: (973) 365-4300

Reviews and Comments


Physician Assistant Nurses in Passaic, NJ

Karen Giraldo,
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Yassel Marie Legoff, PA-C
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Phone: 973-458-8000    Fax: 973-458-8425
Tin M Chen, P.A.
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Joseph Schuld,
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Medicare: Accepting Medicare Assignments
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Phone: 973-916-0002    Fax: 973-916-0027
Kimberly Sanchez-aguayo, PA-C
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Ms. Jahanara Rouf, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 362 Monroe St, Passaic, NJ 07055
Phone: 347-339-0085    
Cassandra Vincent, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 350 Boulevard, Passaic, NJ 07055
Phone: 973-365-4566    Fax: 973-365-4651

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.