Susan John Moore, FNP - Medicare Nurse Practitioner in Kokomo, IN

Susan John Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Indiana. Her current practice location is 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 864-4160.

Susan John Moore is licensed to practice in Indiana (license number 71003756A) 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 1134400864.

Contact Information

Susan John Moore, FNP
3118 South Lafountain, Indiana Health Center - Kokomo,
Kokomo, IN 46902-3710
(765) 864-4160
(765) 864-4166



Provider's Profile

Full NameSusan John Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location3118 South Lafountain, Kokomo, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134400864
  • Provider Enumeration Date: 09/08/2011
  • Last Update Date: 01/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789840885
  • Enrollment ID: I20120718000001

Medical Identifiers

Medical identifiers for Susan John Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134400864NPI-NPPES
100071250AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 71003756A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71003756A (Indiana)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. Susan John Moore allows following entities to bill medicare on her behalf.
Entity NameIndiana Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598776742
PECOS PAC ID: 3971599473
Enrollment ID: O20040430001159

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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. Susan John 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
Susan John Moore, FNP
8003 Castleway Dr,
Indianapolis, IN 46250-1946

Ph: (317) 576-1335
Susan John Moore, FNP
3118 South Lafountain, Indiana Health Center - Kokomo,
Kokomo, IN 46902-3710

Ph: (765) 864-4160

News Archive

New approach to treat RA can change lives of millions of patients: Research

Portuguese scientists have just published a revolutionary new approach to treat rheumatoid arthritis (RA) which, if translated to humans, can change the way we treat autoimmunity (and so diseases like RA but also diabetes and MS) and, with it, the lives of millions of patients.

Plant-based therapies may show modest reductions in menopausal symptoms

An analysis of more than 60 studies suggests that some plant-based therapies are associated with modest reductions in the frequency of hot flashes and vaginal dryness but no significant reduction in night sweats, according to a study appearing in the June 21 issue of JAMA.

Natus Medical second-quarter revenue increases to $52.7 million

Natus Medical Incorporated today announced financial results for the three and six months ended June 30, 2010.

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A mushroom used in Asia for its medicinal benefits has been found to be 100 per cent effective in suppressing prostate tumour development in mice during early trials, new Queensland University of Technology (QUT) research shows.

Read more News

› Verified 3 days ago


Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3500 S Lafountain St, Kokomo, IN 46902
Phone: 765-453-8571    Fax: 765-453-8637
Miranda Tedder,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902
Phone: 765-776-8700    
Mandy Vires, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902
Phone: 317-654-3487    
Raymond Candelaria,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902
Phone: 765-776-8700    
Mrs. Lisa D Stults, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1907 W Sycamore St, Kokomo, IN 46901
Phone: 765-456-5900    
Angela J Bowman, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901
Phone: 765-453-1254    Fax: 765-864-8732
Mary Hendrix,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902
Phone: 765-864-4160    

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