Nicole K Moore, PAC - Medicare Physician Assistant in Bangor, ME

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Nicole K Moore, PAC is a medicare enrolled "Physician Assistant - Medical" in Bangor, Maine. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice York Hospital, Rehabilitation Associates Pc, Maine Medical Consultants Pc, Pai Participant 7 Pc and her current practice location is 992 Union St Ste 5, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 992-2601.

Nicole K Moore is licensed to practice in Maine (license number PA1477) 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 1679988737.

Contact Information

Nicole K Moore, PAC
992 Union St Ste 5,
Bangor, ME 04401-3057
(207) 992-2601
(207) 404-8351

Map and Direction




Provider's Profile

Full NameNicole K Moore
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location992 Union St Ste 5, Bangor, Maine
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:
  • Nicole K Moore graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1679988737
  • Provider Enumeration Date: 06/27/2014
  • Last Update Date: 05/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315166071
  • Enrollment ID: I20140912000310

Medical Identifiers

Medical identifiers for Nicole K Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679988737NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA1477 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
York HospitalYork, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
York Hospital6406766781202
Rehabilitation Associates Pc246674399214
Maine Medical Consultants Pc781022925946
Pai Participant 7 Pc246678890631

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 K Moore allows following entities to bill medicare on her behalf.
Entity NameEastern Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790789147
PECOS PAC ID: 2062315161
Enrollment ID: O20040128000088
Entity NameYork Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376528398
PECOS PAC ID: 6406766781
Enrollment ID: O20040812001065
Entity NameBluewater Emergency Partners of Brunswick, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043640204
PECOS PAC ID: 3375774227
Enrollment ID: O20140319000012
Entity NameRehabilitation Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629430087
PECOS PAC ID: 2466743992
Enrollment ID: O20160614000616
Entity NameMaine Medical Consultants PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619519873
PECOS PAC ID: 7810229259
Enrollment ID: O20191104002506
Entity NamePai Participant 7 PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548829872
PECOS PAC ID: 2466788906
Enrollment ID: O20251125000042

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 K 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
Nicole K Moore, PAC
Po Box 1599,
Bangor, ME 04402-1599

Ph: (207) 404-8200		Nicole K Moore, PAC
992 Union St Ste 5,
Bangor, ME 04401-3057

Ph: (207) 992-2601

Reviews and Comments


Physician Assistant Nurses in Bangor, ME

Sarah Anne Whitty, PA-C
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Phone: 973-768-5029    
Mary White, PA
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Phone: 207-922-1300    Fax: 207-217-6742
Margaret Elizabeth Kasper, PA-C
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Practice Location: 489 State St, Bangor, ME 04401
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Kenneth G Nadeau, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1068 Union St, Bangor, ME 04401
Phone: 207-404-8181    Fax: 207-922-4198
Dara H Knapp, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-7000    Fax: 207-973-5042
Kate Lucille Blanchard, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-7000    
Jake Pristupa,
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 55 Broadway Ste 2, Bangor, ME 04401
Phone: 207-947-0496    

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.