Gloria L Moore, FNP - Medicare Nurse Practitioner in Port Huron, MI

Gloria L Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Port Huron, Michigan. Her current practice location is 2601 Electric Ave, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 216-1500.

Gloria L Moore is licensed to practice in Michigan (license number 4704301246NSA220SA) 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 1073235859.

Contact Information

Gloria L Moore, FNP
2601 Electric Ave,
Port Huron, MI 48060-6587
(810) 216-1500
Not Available



Physician's Profile

Full NameGloria L Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location2601 Electric Ave, Port Huron, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073235859
  • Provider Enumeration Date: 09/19/2022
  • Last Update Date: 01/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284089574
  • Enrollment ID: I20231005003016

Medical Identifiers

Medical identifiers for Gloria L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073235859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0012XInternal Medicine - Sleep Medicine 4704301246 (Michigan)Secondary
163WW0000XRegistered Nurse - Wound Care 4704263386 (Michigan)Secondary
163WX1500XRegistered Nurse - Ostomy Care 4704263386 (Michigan)Secondary
225200000XPhysical Therapy Assistant (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care 4704263386 (Michigan)Secondary
363LF0000XNurse Practitioner - Family 4704301246NSA220SA (Michigan)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. Gloria L Moore allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855

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Entity NameVinculum Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306538079
PECOS PAC ID: 1557716842
Enrollment ID: O20231005002925

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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. Gloria L 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 AddressPractice Location Address
Gloria L Moore, FNP
5316 Lakeshore Rd,
Fort Gratiot, MI 48059-3118

Ph: (810) 357-8792
Gloria L Moore, FNP
2601 Electric Ave,
Port Huron, MI 48060-6587

Ph: (810) 216-1500

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Doctors could get a head start treating cancer thanks to new AI developed at the University of Surrey that is able to predict symptoms and their severity throughout the course of a patient's treatment.

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› Verified 6 days ago



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