Audrea Maurine Moore, LMHC in Lutz, FL - Medicare Counselor Provider

Audrea Maurine Moore, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Lutz, Florida. Her current practice location is 1506 Cannonade Ct, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 714-9792.

Audrea Maurine Moore is licensed to practice in Florida (license number MH8581) 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 1124161153.

Contact Information

	Audrea Maurine Moore, LMHC
	1506 Cannonade Ct, Lutz, FL 33549-5822
	(813) 714-9792
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Audrea Maurine Moore
Gender	Female
Speciality	Counselor - Mental Health
Location	1506 Cannonade Ct, Lutz, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124161153
Provider Enumeration Date: 02/15/2007
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 8325496144
Enrollment ID: I20231204002907

Medical Identifiers

Medical identifiers for Audrea Maurine Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124161153	NPI	-	NPPES
765872900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH8581 (Florida)	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. Audrea Maurine Moore allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Other Medical Care Group
Entity Identifiers	NPI Number: 1730648288 PECOS PAC ID: 7416132428 Enrollment ID: O20190327002120

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590

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. Audrea Maurine 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
Audrea Maurine Moore, LMHC 1506 Cannonade Ct, Lutz, FL 33549-5822 Ph: (813) 714-9792	Audrea Maurine Moore, LMHC 1506 Cannonade Ct, Lutz, FL 33549-5822 Ph: (813) 714-9792

Reviews and Comments

Counselor in Lutz, FL

Brianna Michelle Garcia, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 24758 State Road 54 Unit 101, Lutz, FL 33559 Phone: 401-237-0788
Laura Pizzurro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4125 Apple Blossom Rd, Lutz, FL 33558 Phone: 561-558-3611
Tennazha Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17665 Bellavista Loop # 1209, Lutz, FL 33558 Phone: 347-360-2072
Ms. Sushama U. Kirtikar, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16120 N Florida Ave, Lutz, FL 33549 Phone: 813-264-7114 Fax: 813-961-1388
Kimberly Macgregor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Michelin Ct, Lutz, FL 33549 Phone: 813-949-3904
Mrs. Amber Lynn Lavoie, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2334 Brenthaven Crossing Ct, Lutz, FL 33558 Phone: 401-339-9968
April Veronica Campbell, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Michelin Ct, Lutz, FL 33549 Phone: 813-949-8946

Audrea Maurine Moore, LMHC - Medicare Counselor in Lutz, FL