Ms Lindsay Grace Moore, CRNA - Medicare Nurse Anesthetist, Certified Registered in New London, CT

Ms Lindsay Grace Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New London, Connecticut. Her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0711.

Ms Lindsay Grace Moore is licensed to practice in Connecticut (license number 10717) 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 1154959765.

Contact Information

Ms Lindsay Grace Moore, CRNA
365 Montauk Ave,
New London, CT 06320-4700
(860) 442-0711
Not Available



Provider's Profile

Full NameMs Lindsay Grace Moore
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location365 Montauk Ave, New London, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154959765
  • Provider Enumeration Date: 03/30/2020
  • Last Update Date: 08/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234510306
  • Enrollment ID: I20220720002900

Medical Identifiers

Medical identifiers for Ms Lindsay Grace Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154959765NPI-NPPES
1154959765MedicaidCT
1154959765MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine RN9511006 (Florida)Secondary
207L00000XAnesthesiology 277039 (Arizona)Secondary
367500000XNurse Anesthetist, Certified Registered 11019518 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 277039 (Arizona)Secondary
367500000XNurse Anesthetist, Certified Registered 10717 (Connecticut)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. Ms Lindsay Grace Moore allows following entities to bill medicare on her behalf.
Entity NameIntegrated Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881636397
PECOS PAC ID: 1759281165
Enrollment ID: O20040112000163

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Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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Entity NameNorth American Partners In Anesthesia Connecticut Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316994775
PECOS PAC ID: 6709877939
Enrollment ID: O20040519000120

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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. Ms Lindsay Grace 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
Ms Lindsay Grace Moore, CRNA
1154 Hill St,
Bristol, CT 06010-2256

Ph: (860) 751-2761
Ms Lindsay Grace Moore, CRNA
365 Montauk Ave,
New London, CT 06320-4700

Ph: (860) 442-0711

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Nurse Anesthetist, Certified Registered Nurses in New London, CT

Judith Ann Mcgannon, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 365 Montauk, Lawrence And Memorial Hospital, New London, CT 06320
Phone: 860-442-0711    
Tara M Huta, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    Fax: 781-407-0998
Sharon B Gallipeau, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    
Thomas Scott Long, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    
Jolene Marie Oliver, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 206-384-6204    
Jana Marlene Ott, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 203-688-0715    Fax: 475-246-9062
Stefanie Guarino, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    Fax: 781-407-0998

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