Raven Tpring Moore, AGNP-C in Covington, GA - Medicare Nurse Practitioner

Raven Tpring Moore, AGNP-C is a medicare enrolled "Nurse Practitioner" in Covington, Georgia. Her current practice location is 6175 Newton Dr Ne, Covington, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 342-6000.

Raven Tpring Moore is licensed to practice in Georgia (license number RN277339) 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 1568041168.

Contact Information

	Raven Tpring Moore, AGNP-C
	6175 Newton Dr Ne, Covington, GA 30014-2690
	(678) 342-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Raven Tpring Moore
Gender	Female
Speciality	Nurse Practitioner
Location	6175 Newton Dr Ne, Covington, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568041168
Provider Enumeration Date: 04/02/2021
Last Update Date: 03/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9234593690
Enrollment ID: I20230919000486

Medical Identifiers

Medical identifiers for Raven Tpring Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568041168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WS0200X	Registered Nurse - School	RN277339 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN277339 (Georgia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	RN277339 (Georgia)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	RN277339 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN277339 (Georgia)	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. Raven Tpring Moore allows following entities to bill medicare on her behalf.

Entity Name	Reagan Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952316747 PECOS PAC ID: 6507779329 Enrollment ID: O20031107000573

Entity Name	Piedmont Medical Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500

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. Raven Tpring 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
Raven Tpring Moore, AGNP-C 2878 Five Forks Trickum Rd, Lawrenceville, GA 30044-5896 Ph: (678) 344-8700	Raven Tpring Moore, AGNP-C 6175 Newton Dr Ne, Covington, GA 30014-2690 Ph: (678) 342-6000

Reviews and Comments

Nurse Practitioner Nurses in Covington, GA

Ms. Tonecesa Burtton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Providence Pkwy, Covington, GA 30014 Phone: 770-462-9202
Mrs. Melanie Marie Cox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3792 Kraddle Creek Dr, Covington, GA 30014 Phone: 770-490-3350
Nicole Francis-freckleton, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13110 Greywolf Ln, Covington, GA 30014 Phone: 754-551-4480
Shelleyann Beaubrun, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4136 Newton Dr Ne, Covington, GA 30014 Phone: 770-569-3205
Samantha Joi Tait, DNP, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4152 Baker St Ne, Covington, GA 30014 Phone: 770-788-1077
Mrs. Hannah Addis, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014 Phone: 770-728-1901 Fax: 770-728-1907
Dr. Ogochukwu Ojiaku, DNP, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Avonlea Dr, Covington, GA 30016 Phone: 404-457-3743

Raven Tpring Moore, AGNP-C - Medicare Nurse Practitioner in Covington, GA