Susan Lynn Moore, CNP is a medicare enrolled "Nurse Practitioner - Family" in Oak Hill, Ohio. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holzer Clinic Llc and her current practice location is
512 N Front Street, Oak Hill, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 682-3888.
Susan Lynn Moore is licensed to practice in Ohio (license number APRN.CNP.18053) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942678529.
Provider's Profile
| Full Name | Susan Lynn Moore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 512 N Front Street, Oak Hill, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan Lynn Moore graduated from nursing school in 2015
NPI Data:
- NPI Number: 1942678529
- Provider Enumeration Date: 09/12/2015
- Last Update Date: 05/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537479084
- Enrollment ID: I20151112001488
Medical Identifiers
Medical identifiers for Susan Lynn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942678529 | NPI | - | NPPES |
| 0147757 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.18053 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Holzer Clinic Llc | 5890606008 | 264 |
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. Susan Lynn Moore allows following entities to bill medicare on her behalf.
| Entity Name | Holzer Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746 |
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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. Susan Lynn 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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Susan Lynn Moore, CNP
100 Jackson Pike,
Gallipolis, OH 45631-1560
Ph: (740) 446-5000 | Susan Lynn Moore, CNP
512 N Front Street,
Oak Hill, OH 45656
Ph: (740) 682-3888 |
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