Ms Dorothy Hazel Mora, CNM - Medicare Advanced Practice Midwife in Fort Defiance, AZ

Ms Dorothy Hazel Mora, CNM is a medicare enrolled "Advanced Practice Midwife" in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8770.

Ms Dorothy Hazel Mora is licensed to practice in Pennsylvania (license number MW010313) 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 1336312099.

Contact Information

Ms Dorothy Hazel Mora, CNM
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8770
Not Available



Provider's Profile

Full NameMs Dorothy Hazel Mora
GenderFemale
SpecialityAdvanced Practice Midwife
LocationCorner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336312099
  • Provider Enumeration Date: 04/02/2008
  • Last Update Date: 10/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1355416157
  • Enrollment ID: I20080813000409

Medical Identifiers

Medical identifiers for Ms Dorothy Hazel Mora such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336312099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife AP2983 (Arizona)Secondary
367A00000XAdvanced Practice Midwife MW010313 (Pennsylvania)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 Dorothy Hazel Mora allows following entities to bill medicare on her behalf.
Entity NameThe Fort Defiance Indian Hospital Board, Incorporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477876639
PECOS PAC ID: 0941336697
Enrollment ID: O20100429001153

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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 Dorothy Hazel Mora 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 Dorothy Hazel Mora, CNM
Po Box 649,
Fort Defiance, AZ 86504-0649

Ph: (928) 729-8000
Ms Dorothy Hazel Mora, CNM
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8770

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Advanced Practice Midwife Nurses in Fort Defiance, AZ

Brigette Mastel, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Linda R Barnes, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital, Inc, Fort Defiance, AZ 86504
Phone: 928-729-8798    
Dana Claire Brewer, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Ms. Courtney Cathleen Steer-massaro, C.N.M., F.N.P.-C.
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Carol Mcconnell Stout, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Rt N12 And Rt N 7, Fort Defiance, AZ 86504
Phone: 928-729-8798    Fax: 928-729-8794
Ms. Anne Madsen, C.N.M.
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8797    

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