Shela Renee Moreno, in Longview, WA - Medicare Nurse Practitioner

Shela Renee Moreno, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Longview, Washington. Her current practice location is 1116 14th Ave, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 261-6930.

Shela Renee Moreno is licensed to practice in Washington (license number AP61548893) 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 1144000332.

Contact Information

	Shela Renee Moreno,
	1116 14th Ave, Longview, WA 98632-3017
	(360) 261-6930
	Not Available

Map and Direction

Provider's Profile

Full Name	Shela Renee Moreno
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1116 14th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144000332
Provider Enumeration Date: 10/04/2023
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4082132642
Enrollment ID: I20250516002645

Medical Identifiers

Medical identifiers for Shela Renee Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144000332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN61050614 (Washington)	Secondary
163WP0808X	Registered Nurse - Psychiatric/mental Health	201041551RN (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10024830 (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61548893 (Washington)	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. Shela Renee Moreno allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

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. Shela Renee Moreno 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
Shela Renee Moreno, 1116 14th Ave, Longview, WA 98632-3017 Ph: (360) 261-6930	Shela Renee Moreno, 1116 14th Ave, Longview, WA 98632-3017 Ph: (360) 261-6930

Reviews and Comments

Nurse Practitioner Nurses in Longview, WA

Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038
Mandy Turner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1339 Commerce Ave Ste 312, Longview, WA 98632 Phone: 360-747-1073
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000

Shela Renee Moreno, - Medicare Nurse Practitioner in Longview, WA