William Wyatt Moore, NP in Gautier, MS - Medicare Nurse Practitioner

William Wyatt Moore, NP is a medicare enrolled "Nurse Practitioner" in Gautier, Mississippi. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Memorial Hospital At Gulfport and his current practice location is 2105 Old Spanish Trl, Gautier, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 497-9123.

William Wyatt Moore is licensed to practice in Mississippi (license number R867645) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407089907.

Contact Information

	William Wyatt Moore, NP
	2105 Old Spanish Trl, Gautier, MS 39553-6000
	(228) 497-9123
	(228) 497-0647

Map and Direction

Provider's Profile

Full Name	William Wyatt Moore
Gender	Male
Speciality	Nurse Practitioner
Experience	17 Years
Location	2105 Old Spanish Trl, Gautier, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

William Wyatt Moore graduated from nursing school in 2007

NPI Data:

NPI Number: 1407089907
Provider Enumeration Date: 08/31/2009
Last Update Date: 09/13/2013

Medicare PECOS Information:

PECOS PAC ID: 6800936949
Enrollment ID: I20091221000360

Medical Identifiers

Medical identifiers for William Wyatt Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407089907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R867645 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital
Singing River Health System	Pascagoula, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital At Gulfport	2466524012	376

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. William Wyatt Moore allows following entities to bill medicare on his behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

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. William Wyatt 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
William Wyatt Moore, NP 2105 Old Spanish Trl, Gautier, MS 39553-6000 Ph: (228) 497-9123	William Wyatt Moore, NP 2105 Old Spanish Trl, Gautier, MS 39553-6000 Ph: (228) 497-9123

Reviews and Comments

Nurse Practitioner Nurses in Gautier, MS

Mr. James Nathan Payne, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5090 Gautier Vancleave Rd, Gautier, MS 39553 Phone: 228-522-6700 Fax: 228-522-3383
Meagan Trehern, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137
Julie T Trice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363
Mrs. Sarah K Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Old Spanish Trail, Gautier, MS 39553 Phone: 228-205-7700 Fax: 228-205-7715
Melinda Marie Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137
Amanda Ann Campbell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363

William Wyatt Moore, NP - Medicare Nurse Practitioner in Gautier, MS