Jennifer Leigh Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fpo, Armed Forces Europe. Her current practice location is
Psc 827, Fpo, Armed Forces Europe. You can reach out to her office (for appointments etc.) via phone at
(011) 390-814324.
Jennifer Leigh Moore is licensed to practice in Florida (license number ARNP9277203) 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 1801880091.
Provider's Profile
| Full Name | Jennifer Leigh Moore |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | Psc 827, Fpo, Armed Forces Europe |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801880091
- Provider Enumeration Date: 09/02/2005
- Last Update Date: 07/10/2008
Medicare PECOS Information:
- PECOS PAC ID: 0244395796
- Enrollment ID: I20090217000110
Medical Identifiers
Medical identifiers for Jennifer Leigh Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801880091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RNA36612 (Rhode Island) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9277203 (Florida) | 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. Jennifer Leigh Moore allows following entities to bill medicare on her behalf.
| Entity Name | Us Anesthesia Partners Of Florida Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594 |
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| Entity Name | Volusia Anesthesiology Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205861697
PECOS PAC ID: 3971509720
Enrollment ID: O20061018000445 |
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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. Jennifer Leigh 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 |
|---|
Jennifer Leigh Moore, CRNA
1818 Roscoe Turner Trl,
Port Orange, FL 32128-6838
Ph: () - | Jennifer Leigh Moore, CRNA
Psc 827,
Fpo, AE 09617
Ph: (011) 390-814324 |