Whitney Lee Moore, DNP, PMHNP in Ammon, ID - Medicare Nurse Practitioner

Whitney Lee Moore, DNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ammon, Idaho. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice 4 Pillars Of Success Llc and her current practice location is 1675 Curlew Dr, Ammon, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 523-5319.

Whitney Lee Moore is licensed to practice in Idaho (license number ID-58820) 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 1770150484.

Contact Information

	Whitney Lee Moore, DNP, PMHNP
	1675 Curlew Dr, Ammon, ID 83406-4850
	(208) 523-5319
	(208) 523-5627

Map and Direction

Provider's Profile

Full Name	Whitney Lee Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1675 Curlew Dr, Ammon, Idaho
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:

Whitney Lee Moore graduated from nursing school in 2021

NPI Data:

NPI Number: 1770150484
Provider Enumeration Date: 06/10/2021
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 5991101297
Enrollment ID: I20210913001813

Medical Identifiers

Medical identifiers for Whitney Lee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770150484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	ID-58820 (Idaho)	Primary
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	ID-58820 (Idaho)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lost Rivers Medical Center	Arco, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
4 Pillars Of Success Llc	4688027188	18

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. Whitney Lee Moore allows following entities to bill medicare on her behalf.

Entity Name	Badger Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619134277 PECOS PAC ID: 3173794187 Enrollment ID: O20110923000401

Entity Name	4 Pillars Of Success Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619134277 PECOS PAC ID: 4688027188 Enrollment ID: O20240131004474

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. Whitney Lee 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
Whitney Lee Moore, DNP, PMHNP Po Box 2106, Idaho Falls, ID 83403-2106 Ph: () -	Whitney Lee Moore, DNP, PMHNP 1675 Curlew Dr, Ammon, ID 83406-4850 Ph: (208) 523-5319

Reviews and Comments

Nurse Practitioner Nurses in Ammon, ID

Jayde Barnes, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-346-7501
Joanne Pond, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1547 Midway Ave, Ammon, ID 83406 Phone: 209-872-0707
Susannah Hancock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1189 Red Robin Ave, Ammon, ID 83401 Phone: 619-602-4520
Christopher James Jankowski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500
Nicole Boyle, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-757-3973
Colton Jeffery Phelps, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319
Michelle Norman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7501

Whitney Lee Moore, DNP, PMHNP - Medicare Nurse Practitioner in Ammon, ID