Tiffany Gray Moon, WHNP-BC in Plymouth, NC - Medicare Nurse Practitioner

Tiffany Gray Moon, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Plymouth, North Carolina. Her current practice location is 198 Nc Highway 45 N, Plymouth, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 791-3119.

Tiffany Gray Moon is licensed to practice in North Carolina (license number 5009694) 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 1467971325.

Contact Information

	Tiffany Gray Moon, WHNP-BC
	198 Nc Highway 45 N, Plymouth, NC 27962-9232
	(252) 791-3119
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Gray Moon
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	198 Nc Highway 45 N, Plymouth, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467971325
Provider Enumeration Date: 09/12/2017
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 5092170613
Enrollment ID: I20230503001385

Medical Identifiers

Medical identifiers for Tiffany Gray Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467971325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	5009694 (North Carolina)	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. Tiffany Gray Moon allows following entities to bill medicare on her behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

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. Tiffany Gray Moon 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
Tiffany Gray Moon, WHNP-BC 201 Leigh St, Edenton, NC 27932-1657 Ph: (252) 562-4410	Tiffany Gray Moon, WHNP-BC 198 Nc Highway 45 N, Plymouth, NC 27962-9232 Ph: (252) 791-3119

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, NC

Mrs. Chrystie Lee Smith, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 958 Us Highway 64 E, Plymouth, NC 27962 Phone: 252-793-4135 Fax: 252-793-7802
Mrs. Renea Swain Price, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 198 Nc Highway 45 N, Plymouth, NC 27962 Phone: 252-791-3119
Ginger Mcdermott Spencer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 Us Highway 64 E, Plymouth, NC 27962 Phone: 252-793-4500
Lois Joyce Roberson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1032 Us Highway 64 E, Plymouth, NC 27962 Phone: 242-793-4500
Mrs. Laura Everett Respass, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 E Water St, Plymouth, NC 27962 Phone: 252-791-0490
Mrs. Angelica Formo Keech, WHNP-BC,NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 198 Hwy 45 North, Plymouth, NC 27962 Phone: 252-793-3023 Fax: 252-791-3108

Tiffany Gray Moon, WHNP-BC - Medicare Nurse Practitioner in Plymouth, NC