Peace Yeside Moore, WHNP - Medicare Nurse Practitioner in Brentwood, NY

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Peace Yeside Moore, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Brentwood, New York. Her current practice location is 140 Ellery St, Brentwood, New York. You can reach out to her office (for appointments etc.) via phone at (631) 521-7109.

Peace Yeside Moore is licensed to practice in New York (license number 421069) 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 1598037319.

Contact Information

Peace Yeside Moore, WHNP
140 Ellery St,
Brentwood, NY 11717-2740
(631) 521-7109
Not Available

Map and Direction




Provider's Profile

Full NamePeace Yeside Moore
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location140 Ellery St, Brentwood, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598037319
  • Provider Enumeration Date: 02/09/2012
  • Last Update Date: 04/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143515718
  • Enrollment ID: I20160822000553

Medical Identifiers

Medical identifiers for Peace Yeside Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598037319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 421069 (New York)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. Peace Yeside Moore allows following entities to bill medicare on her behalf.
Entity NameLawrence Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023257441
PECOS PAC ID: 1759439631
Enrollment ID: O20090504000017
Entity NameCk Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588242804
PECOS PAC ID: 9032526132
Enrollment ID: O20210407000522

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. Peace Yeside 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
Peace Yeside Moore, WHNP
1535 Mayflower Ave Apt 1f,
Bronx, NY 10461-5455

Ph: (631) 316-0105		Peace Yeside Moore, WHNP
140 Ellery St,
Brentwood, NY 11717-2740

Ph: (631) 521-7109

Reviews and Comments


Nurse Practitioner Nurses in Brentwood, NY

Ms. Maryellen Cucuzzo, NURSE PRACTITIONER
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Practice Location: 600 Suffolk Ave Ste C, Brentwood, NY 11717
Phone: 631-273-3712    Fax: 631-273-3745
Lynda Lyon, NP
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Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717
Phone: 631-853-7300    
Mrs. Joann Marie Basile, NP
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Ms. Jiyoung Jeong Yang, ANP-C
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Practice Location: 1235 Suffolk Ave, Brentwood, NY 11717
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Jennifer Vasquez, NP
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Theretha Gilbert, NP
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Phone: 631-853-2783    
Mrs. Eileen Melendez-rivas, NP
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Phone: 631-388-7500    

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.