Martha Michelle Moore, in Stockbridge, GA - Medicare Nurse Practitioner

Martha Michelle Moore, is a medicare enrolled "Nurse Practitioner - Family" in Stockbridge, Georgia. Her current practice location is Piedmont Henry Hospital, 1133 Eagles Landing Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 575-7992.

Martha Michelle Moore is licensed to practice in Georgia (license number 222920) 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 1144739533.

Contact Information

	Martha Michelle Moore,
	Piedmont Henry Hospital, 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
	(678) 575-7992
	Not Available

Provider's Profile

Full Name	Martha Michelle Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	Piedmont Henry Hospital, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144739533
Provider Enumeration Date: 09/28/2017
Last Update Date: 06/15/2018

Medicare PECOS Information:

PECOS PAC ID: 7113272410
Enrollment ID: I20180608001135

Medical Identifiers

Medical identifiers for Martha Michelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144739533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN1035743 (District Of Columbia)	Secondary
363LF0000X	Nurse Practitioner - Family	222920 (Georgia)	Primary
163W00000X	Registered Nurse	RN222920 (Georgia)	Secondary
163W00000X	Registered Nurse	95041728 (California)	Secondary

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. Martha Michelle Moore allows following entities to bill medicare on her behalf.

Entity Name	Inphynet Primary Care Physicians Southeast Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770521460 PECOS PAC ID: 3779497045 Enrollment ID: O20031119000600

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Entity Name	Walker Lake Emergency Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186

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Entity Name	The Iv Spot, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619575834 PECOS PAC ID: 5395134712 Enrollment ID: O20220114001555

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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. Martha Michelle 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
Martha Michelle Moore, 1890 Paxton Dr Sw, Lilburn, GA 30047-3384 Ph: (773) 292-4800	Martha Michelle Moore, Piedmont Henry Hospital, 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Ph: (678) 575-7992

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Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860

Martha Michelle Moore, - Medicare Nurse Practitioner in Stockbridge, GA

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Medicago receives $3.8M as second milestone payment from U.S. DARPA for cGMP vaccine facility

HeRO graft device provides long-term AV access for hemodialysis patients

Racial discrimination may contribute to premature births

AGTC receives FFB grant to evaluate gene therapy treatment for X-linked Retinoschisis

Medicago receives $3.8M as second milestone payment from U.S. DARPA for cGMP vaccine facility

HeRO graft device provides long-term AV access for hemodialysis patients

Racial discrimination may contribute to premature births

AGTC receives FFB grant to evaluate gene therapy treatment for X-linked Retinoschisis

Medicago receives $3.8M as second milestone payment from U.S. DARPA for cGMP vaccine facility

HeRO graft device provides long-term AV access for hemodialysis patients

Racial discrimination may contribute to premature births

AGTC receives FFB grant to evaluate gene therapy treatment for X-linked Retinoschisis

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Racial discrimination may contribute to premature births

AGTC receives FFB grant to evaluate gene therapy treatment for X-linked Retinoschisis

Nurse Practitioner Nurses in Stockbridge, GA