Nicole M Moore, CRNA in Sunrise, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Nicole M Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sunrise, Florida. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Youngs Professional Services Llc and her current practice location is 1613 Harrison Pkwy, #200, Sunrise, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 838-2371.

Nicole M Moore is licensed to practice in Louisiana (license number AP04643) 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 1326019811.

Contact Information

	Nicole M Moore, CRNA
	1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853
	(954) 838-2371
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole M Moore
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	1613 Harrison Pkwy, Sunrise, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole M Moore graduated from nursing school in 2004

NPI Data:

NPI Number: 1326019811
Provider Enumeration Date: 01/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4880648427
Enrollment ID: I20050531000021

Medical Identifiers

Medical identifiers for Nicole M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326019811	NPI	-	NPPES
1612201	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP04643 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of Lourdes Regional Medical Center, Inc	Lafayette, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Youngs Professional Services Llc	2163524992	218

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. Nicole M Moore allows following entities to bill medicare on her behalf.

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608

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. Nicole M 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
Nicole M Moore, CRNA Po Box 452015, Sunrise, FL 33345-2015 Ph: () -	Nicole M Moore, CRNA 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 Ph: (954) 838-2371

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sunrise, FL

Ashley Wald Lafferty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, Suite 200, Sunrise, FL 33323 Phone: 954-838-2588 Fax: 954-514-3979
Velda M. Vandling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371
Mary T Mitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14050 Nw 14th St Ste 190, Sunrise, FL 33323 Phone: 800-424-3672 Fax: 954-377-3042
Gilfredo Figueroa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371
Chales A. Noyes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371
Wanda L. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371
Carol Rimron Pfrogner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371

Nicole M Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Sunrise, FL