Ms Mary Sue Moore, APRN, DNP - Medicare Nurse Practitioner in Port St Joe, FL

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Ms Mary Sue Moore, APRN, DNP is a medicare enrolled "Nurse Practitioner - Family" in Port St Joe, Florida. Her current practice location is 401 Cecil G Costin Sr Blvd, Port St Joe, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 229-1043.

Ms Mary Sue Moore is licensed to practice in Florida (license number APRN9162481) 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 1508221284.

Contact Information

Ms Mary Sue Moore, APRN, DNP
401 Cecil G Costin Sr Blvd,
Port St Joe, FL 32456-1928
(850) 229-1043
Not Available

Map and Direction




Provider's Profile

Full NameMs Mary Sue Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location401 Cecil G Costin Sr Blvd, Port St Joe, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508221284
  • Provider Enumeration Date: 12/22/2015
  • Last Update Date: 05/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143565952
  • Enrollment ID: I20181226001491

Medical Identifiers

Medical identifiers for Ms Mary Sue Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508221284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN9162481 (Florida)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 Mary Sue Moore allows following entities to bill medicare on her behalf.
Entity NameCalhoun-liberty Hospital Association Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1649596784
PECOS PAC ID: 8820007016
Enrollment ID: O20070509000586
Entity NameSmall Hospital Innovations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184040560
PECOS PAC ID: 0840415444
Enrollment ID: O20140715000513
Entity NamePancare Of Florida, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366456287
PECOS PAC ID: 3476574229
Enrollment ID: O20150116000294
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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 Mary Sue 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 Mary Sue Moore, APRN, DNP
11523 Sw Mcclellan Farm Rd,
Clarksville, FL 32430-3043

Ph: (850) 899-3191		Ms Mary Sue Moore, APRN, DNP
401 Cecil G Costin Sr Blvd,
Port St Joe, FL 32456-1928

Ph: (850) 229-1043

Reviews and Comments


Nurse Practitioner Nurses in Port St Joe, FL

Nancy Phipps Anderson, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3871 E Highway 98, Suite 203, Port St Joe, FL 32456
Phone: 850-229-5661    Fax: 850-229-5662
Mrs. Christian Laine Cox, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456
Phone: 850-227-9220    Fax: 850-807-5104
Monica Barfield, ARNP
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Practice Location: 202 W Highway 98, Port St Joe, FL 32456
Phone: 850-227-9220    Fax: 850-227-9219
Ms. Patricia A Hammonds, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456
Phone: 850-227-1276    Fax: 850-227-7587
Mrs. Candi Calderon, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 202 W Highway 98, Port St Joe, FL 32456
Phone: 850-227-9220    Fax: 850-227-9219
Amy E. Miller, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1019 Palm Blvd, Port St Joe, FL 32456
Phone: 850-296-0318    
Miss Emily Anne Tezak,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 202 W Highway 98, Port St Joe, FL 32456
Phone: 850-227-9220    

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).

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