Desiray Moore, in Fort Smith, AR - Medicare Counselor Provider

Desiray Moore, is a medicare enrolled "Counselor" provider in Fort Smith, Arkansas. Her current practice location is 1340 S Waldron Rd, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 452-5040.

Desiray Moore is licensed to practice in Arkansas (license number F1409011) 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 1568865517.

Contact Information

	Desiray Moore,
	1340 S Waldron Rd, Fort Smith, AR 72903-2556
	(479) 452-5040
	(479) 452-5047

Map and Direction

Healthcare Provider's Profile

Full Name	Desiray Moore
Gender	Female
Speciality	Counselor
Location	1340 S Waldron Rd, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568865517
Provider Enumeration Date: 10/06/2014
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 1951753409
Enrollment ID: I20240119002308

Medical Identifiers

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

Identifier	Type	State	Issuer
1568865517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
101Y00000X	Counselor	F1409011 (Arkansas)	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. Desiray Moore allows following entities to bill medicare on her behalf.

Entity Name	Choctaw Nation Of Oklahoma
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326

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. Desiray 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
Desiray Moore, Po Box 23070, Barling, AR 72923-0070 Ph: (479) 452-5040	Desiray Moore, 1340 S Waldron Rd, Fort Smith, AR 72903-2556 Ph: (479) 452-5040

Reviews and Comments

Counselor in Fort Smith, AR

Kylia Eastman, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3811 Rogers Ave, Fort Smith, AR 72903 Phone: 479-395-1599
Ms. Dinora Morales Reyes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847
Tochie K Benard, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847
Julie Rae Moore, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-452-5040 Fax: 479-452-5047
Tabitha Fondren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 Armour Ave, Fort Smith, AR 72904 Phone: 479-783-8849 Fax: 479-783-1914
Miss Kylie Nicole Carroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5401 Rogers Ave Ste 201, Fort Smith, AR 72903 Phone: 479-242-4560 Fax: 479-242-4561
Kasey Wilson, ADC, BA, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3113 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650

Desiray Moore, - Medicare Counselor in Fort Smith, AR