Timothy J Moore, CRNA in Germantown, TN - Medicare Nurse Anesthetist, Certified Registered

Timothy J Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Germantown, Tennessee. His current practice location is 8000 Wolf River Blvd Ste 200, Germantown, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 747-3630.

Timothy J Moore is licensed to practice in Tennessee (license number 36528) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609575695.

Contact Information

	Timothy J Moore, CRNA
	8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755
	(901) 747-3630
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy J Moore
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	8000 Wolf River Blvd Ste 200, Germantown, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609575695
Provider Enumeration Date: 02/28/2023
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 7416495890
Enrollment ID: I20240816000085

Medical Identifiers

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

Identifier	Type	State	Issuer
1609575695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	36528 (Tennessee)	Primary
367500000X	Nurse Anesthetist, Certified Registered	901929 (Mississippi)	Secondary

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. Timothy J Moore allows following entities to bill medicare on his behalf.

Entity Name	Gastroenterology Center Of The Midsouth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20060201000753

Entity Name	Resource Anesthesiology Associates Of Tn Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316724073 PECOS PAC ID: 8527419092 Enrollment ID: O20240109002456

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. Timothy J 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
Timothy J Moore, CRNA One Gi Credentialing Department, Po Box 381468, Germantown, TN 38183-1468 Ph: () -	Timothy J Moore, CRNA 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755 Ph: (901) 747-3630

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Germantown, TN

Barbara Bentley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kilbirnie Dr, Germantown, TN 38139 Phone: 901-751-2067
Ashley Barker Sugg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630
Ms. Ashley White Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd Ste 210, Germantown, TN 38138 Phone: 901-818-2183 Fax: 901-682-9522
Samantha Ruth Simmons Schultz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630
Jerica S Mason, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630
Mitchell Joseph Groome, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6000
Mr. Toney L Banks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630

Timothy J Moore, CRNA - Medicare Nurse Anesthetist, Certified Registered in Germantown, TN