Alejandra Moore, APNP - Medicare Nurse Practitioner in Kenosha, WI

Alejandra Moore, APNP is a medicare enrolled "Nurse Practitioner" in Kenosha, Wisconsin. Her current practice location is 7401 104th Ave Ste 110, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 764-5595.

Alejandra Moore is licensed to practice in Wisconsin (license number 14317-33) 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 1073295085.

Contact Information

Alejandra Moore, APNP
7401 104th Ave Ste 110,
Kenosha, WI 53142-7845
(262) 764-5595
(262) 764-9314



Provider's Profile

Full NameAlejandra Moore
GenderFemale
SpecialityNurse Practitioner
Location7401 104th Ave Ste 110, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073295085
  • Provider Enumeration Date: 08/01/2023
  • Last Update Date: 08/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385090521
  • Enrollment ID: I20231025000908

Medical Identifiers

Medical identifiers for Alejandra Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073295085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 14317-33 (Wisconsin)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. Alejandra Moore allows following entities to bill medicare on her behalf.
Entity NameComprehensive Orthopaedics Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295717445
PECOS PAC ID: 3375445497
Enrollment ID: O20040121000174

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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. Alejandra 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
Alejandra Moore, APNP
7401 104th Ave Ste 110,
Kenosha, WI 53142-7845

Ph: (262) 764-5595
Alejandra Moore, APNP
7401 104th Ave Ste 110,
Kenosha, WI 53142-7845

Ph: (262) 764-5595

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Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-6714    
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4536 22nd Ave, Kenosha, WI 53140
Phone: 262-565-0044    
Carly Worden, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2707 15th Pl, Kenosha, WI 53140
Phone: 262-551-2700    
Guadalupe Orlando Romero, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4777 88th Ave, Kenosha, WI 53144
Phone: 262-605-5253    Fax: 262-605-5903
Christine Marie Foster, APNP, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142
Phone: 262-789-1191    Fax: 262-821-6180
Quentin R Kasuboski, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142
Phone: 262-697-7000    Fax: 630-734-1560

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