Grace Moore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fairfax, Virginia. Her current practice location is
8221 Willow Oaks Corporate Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 559-3000.
Grace Moore is licensed to practice in Virginia (license number 0904016165) 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 1851826531.
Healthcare Provider's Profile
Full Name | Grace Moore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8221 Willow Oaks Corporate Dr, Fairfax, Virginia |
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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: 1851826531
- Provider Enumeration Date: 05/01/2017
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628424801
- Enrollment ID: I20231024002444
Medical Identifiers
Medical identifiers for Grace Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851826531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LC200002782 (District Of Columbia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904016165 (Virginia) | 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. Grace Moore allows following entities to bill medicare on her behalf.
Entity Name | Arising Behavioral Health And Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225735848 PECOS PAC ID: 2567827629 Enrollment ID: O20230426000172 |
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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. Grace 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 |
Grace Moore, LCSW 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 Ph: () - | Grace Moore, LCSW 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 Ph: (703) 559-3000 |
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