Tracey D Moore, RN in Ansley, NE - Registered Nurse

Tracey D Moore, RN is a Registered Nurse - General Practice based in Ansley, Nebraska. Tracey D Moore is licensed to practice in Nebraska (license number 56186) and her current practice location is 1124 Cameron St, Ansley, Nebraska. She can be reached at her office (for appointments etc.) via phone at (308) 935-1121.

NPI number for Tracey D Moore is 1306491311 and her current mailing address is Po Box 370, Ansley, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306491311.

Contact Information

	Tracey D Moore, RN
	1124 Cameron St, Ansley, NE 68814-0370
	(308) 935-1121
	(308) 935-9103

Provider's Profile

Full Name	Tracey D Moore
Gender	Female
Speciality	Registered Nurse - General Practice
Location	1124 Cameron St, Ansley, Nebraska
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1306491311
Provider Enumeration Date: 08/06/2019
Last Update Date: 08/06/2019

Medical Identifiers

Medical identifiers for Tracey D Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306491311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	56186 (Nebraska)	Primary

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. Tracey D Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tracey D Moore, RN Po Box 370, Ansley, NE 68814-0370 Ph: (308) 935-1121	Tracey D Moore, RN 1124 Cameron St, Ansley, NE 68814-0370 Ph: (308) 935-1121

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Tracey D Moore, RN - Registered Nurse in Ansley, NE