Mrs Jasmine Joanne Moore-clark, LCSW in Charlotte, NC - Medicare Clinical Social Worker Provider

Mrs Jasmine Joanne Moore-clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Eventus Wholehealth Pllc and her current practice location is 9711 David Taylor Drve, Ste 213, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 875-7079.

Mrs Jasmine Joanne Moore-clark is licensed to practice in North Carolina (license number C012828) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295365740.

Contact Information

	Mrs Jasmine Joanne Moore-clark, LCSW
	9711 David Taylor Drve, Ste 213, Charlotte, NC 28262-3310
	(980) 875-7079
	(980) 500-0158

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jasmine Joanne Moore-clark
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	9711 David Taylor Drve, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jasmine Joanne Moore-clark graduated from medical school in 2013

NPI Data:

NPI Number: 1295365740
Provider Enumeration Date: 01/23/2020
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1254762107
Enrollment ID: I20200511000844

Medical Identifiers

Medical identifiers for Mrs Jasmine Joanne Moore-clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295365740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C012828 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eventus Wholehealth Pllc	6002169539	252

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. Mrs Jasmine Joanne Moore-clark allows following entities to bill medicare on her behalf.

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

Entity Name	Quality Behavioral Health Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174089064 PECOS PAC ID: 2062754427 Enrollment ID: O20190504000005

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. Mrs Jasmine Joanne Moore-clark 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
Mrs Jasmine Joanne Moore-clark, LCSW 2915 Eva Dr Nw, Concord, NC 28027-5501 Ph: () -	Mrs Jasmine Joanne Moore-clark, LCSW 9711 David Taylor Drve, Ste 213, Charlotte, NC 28262-3310 Ph: (980) 875-7079

Reviews and Comments

Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Mrs Jasmine Joanne Moore-clark, LCSW - Medicare Clinical Social Worker in Charlotte, NC