Rebecca Ayne Moore, CNM is a medicare enrolled "Advanced Practice Midwife" in Middletown, Ohio. Her current practice location is
231 N Breiel Blvd, Middletown, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 318-1188.
Rebecca Ayne Moore is licensed to practice in Indiana (license number 09000293A) 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 1023395431.
Provider's Profile
| Full Name | Rebecca Ayne Moore |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 231 N Breiel Blvd, Middletown, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023395431
- Provider Enumeration Date: 11/14/2011
- Last Update Date: 11/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 2163642331
- Enrollment ID: I20141010000806
Medical Identifiers
Medical identifiers for Rebecca Ayne Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023395431 | NPI | - | NPPES |
| 259370200 | Other | IN | MEDICARE |
| 0109990 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | COA12727NM (Ohio) | Secondary |
| 367A00000X | Advanced Practice Midwife | 09000293A (Indiana) | 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. Rebecca Ayne Moore allows following entities to bill medicare on her behalf.
| Entity Name | Bethesda Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598710881
PECOS PAC ID: 3476456997
Enrollment ID: O20040130000688 |
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| Entity Name | Talbert House Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265876809
PECOS PAC ID: 3577793314
Enrollment ID: O20141003000737 |
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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. Rebecca Ayne 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 |
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Rebecca Ayne Moore, CNM
250 N Shadeland Ave Ste 200,
Indianapolis, IN 46219-4959
Ph: (317) 963-2514 | Rebecca Ayne Moore, CNM
231 N Breiel Blvd,
Middletown, OH 45042-3807
Ph: (513) 318-1188 |
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