Ardelle Michelle Moore, LISW, LICDC is a medicare enrolled "Social Worker" provider in Cleveland, Ohio. Her current practice location is
16902 Langly Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 849-3390.
Ardelle Michelle Moore is licensed to practice in Ohio (license number I.1800801) 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 1659643013.
Healthcare Provider's Profile
| Full Name | Ardelle Michelle Moore |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 16902 Langly Ave, Cleveland, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659643013
- Provider Enumeration Date: 02/01/2012
- Last Update Date: 06/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 2062758899
- Enrollment ID: I20190115001926
Medical Identifiers
Medical identifiers for Ardelle Michelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659643013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.141295 (Ohio) | Secondary |
| 104100000X | Social Worker | I.1800801 (Ohio) | 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. Ardelle Michelle Moore allows following entities to bill medicare on her behalf.
| Entity Name | Ohioguidestone |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507 |
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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. Ardelle Michelle 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 |
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Ardelle Michelle Moore, LISW, LICDC
434 Eastland Rd,
Berea, OH 44017-1217
Ph: (440) 260-8327 | Ardelle Michelle Moore, LISW, LICDC
16902 Langly Ave,
Cleveland, OH 44128
Ph: (216) 849-3390 |
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