Roslyn Moore, in Thomasville, GA - Medicare Nurse Practitioner

Roslyn Moore, is a medicare enrolled "Nurse Practitioner - Gerontology" in Thomasville, Georgia. Her current practice location is 112 Mimosa Dr, Thomasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 584-5590.

Roslyn Moore is licensed to practice in Georgia (license number RN105131) 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 1437875879.

Contact Information

	Roslyn Moore,
	112 Mimosa Dr, Thomasville, GA 31792-6605
	(229) 584-5590
	Not Available

Map and Direction

Provider's Profile

Full Name	Roslyn Moore
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	112 Mimosa Dr, Thomasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437875879
Provider Enumeration Date: 10/18/2022
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 4789051343
Enrollment ID: I20221110002380

Medical Identifiers

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

Identifier	Type	State	Issuer
1437875879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	RN105131 (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. Roslyn Moore allows following entities to bill medicare on her behalf.

Entity Name	Archbold Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632

Entity Name	Nephrology Medical Associates Of Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740706951 PECOS PAC ID: 5991600629 Enrollment ID: O20171026000708

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. Roslyn 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
Roslyn Moore, 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: () -	Roslyn Moore, 112 Mimosa Dr, Thomasville, GA 31792-6605 Ph: (229) 584-5590

Reviews and Comments

Nurse Practitioner Nurses in Thomasville, GA

Mrs. Melanie Jai Balfour, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Madison St, Thomasville, GA 31792 Phone: 229-236-0831 Fax: 229-236-0871
Mrs. Courtnay Kelly Perryman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792 Phone: 229-225-4335
Ms. Allen R Lybrook, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-5788 Fax: 229-226-2548
Mrs. Patrice Gunter Bullock, MSN, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Circle Dr, Thomasville, GA 31792 Phone: 229-225-9830
Mary Racheal Havens, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 454 Smith Ave, Thomasville, GA 31792 Phone: 229-227-5510
Kristin F Deutsch, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120
Cecilie Cowie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195

Roslyn Moore, - Medicare Nurse Practitioner in Thomasville, GA