Suzanne Charlotte Moore, NP in Yucaipa, CA - Medicare Nurse Practitioner

Suzanne Charlotte Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Yucaipa, California. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Beaver Medical Group P C and her current practice location is 33758 Yucaipa Blvd, Yucaipa, California. You can reach out to her office (for appointments etc.) via phone at (909) 795-9747.

Suzanne Charlotte Moore is licensed to practice in California (license number NP95014468) 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 1083225569.

Contact Information

	Suzanne Charlotte Moore, NP
	33758 Yucaipa Blvd, Yucaipa, CA 92399-2243
	(909) 795-9747
	Not Available

Map and Direction

Provider's Profile

Full Name	Suzanne Charlotte Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	33758 Yucaipa Blvd, Yucaipa, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Suzanne Charlotte Moore graduated from nursing school in 2020

NPI Data:

NPI Number: 1083225569
Provider Enumeration Date: 08/10/2020
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0143632307
Enrollment ID: I20201210003117

Medical Identifiers

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

Identifier	Type	State	Issuer
1083225569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95014468 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaver Medical Group P C	0547164295	219

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. Suzanne Charlotte Moore allows following entities to bill medicare on her behalf.

Entity Name	Beaver Medical Group P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

Entity Name	Borrego Community Health Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961

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. Suzanne Charlotte 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
Suzanne Charlotte Moore, NP Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188	Suzanne Charlotte Moore, NP 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 Ph: (909) 795-9747

Reviews and Comments

Nurse Practitioner Nurses in Yucaipa, CA

Mr. Sandy Ung, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11970 4th St, Yucaipa, CA 92399 Phone: 872-231-3162 Fax: 702-977-1496
Mrs. Grace Enu Clerk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35237 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-6200 Fax: 909-790-6220
Mi La Kim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Carrie D Parrish, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Lisa Wong-soqui, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Gilbert Agyemang-boakye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11711 Sand Canyon Rd, Yucaipa, CA 92399 Phone: 909-389-3272

Suzanne Charlotte Moore, NP - Medicare Nurse Practitioner in Yucaipa, CA