Amanda Gail Moore, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Perry, Georgia. Her current practice location is
202 E River Cane Run, Perry, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 910-3710.
Amanda Gail Moore is licensed to practice in Georgia (license number MFT001473) 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 1487438420.
Healthcare Provider's Profile
Full Name | Amanda Gail Moore |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 202 E River Cane Run, Perry, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487438420
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173969938
- Enrollment ID: I20240314003386
Medical Identifiers
Medical identifiers for Amanda Gail Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487438420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT001473 (Georgia) | 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. Amanda Gail Moore allows following entities to bill medicare on her behalf.
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
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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. Amanda Gail 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 |
Amanda Gail Moore, LMFT 202 E River Cane Run, Perry, GA 31069-9468 Ph: (770) 910-3710 | Amanda Gail Moore, LMFT 202 E River Cane Run, Perry, GA 31069-9468 Ph: (770) 910-3710 |
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