Katherine K Moore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Norwich, Connecticut. Her current practice location is
47 Town St, Norwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 892-7042.
Katherine K Moore is licensed to practice in Connecticut (license number 11221) 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 1225387723.
Healthcare Provider's Profile
Full Name | Katherine K Moore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 47 Town St, Norwich, Connecticut |
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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: 1225387723
- Provider Enumeration Date: 08/30/2012
- Last Update Date: 10/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 2163834607
- Enrollment ID: I20201207003106
Medical Identifiers
Medical identifiers for Katherine K Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225387723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 11221 (Connecticut) | 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. Katherine K Moore allows following entities to bill medicare on her behalf.
Entity Name | United Community And Family Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
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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. Katherine K 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 |
Katherine K Moore, LCSW 47 Town St, Norwich, CT 06360-2323 Ph: (860) 892-7042 | Katherine K Moore, LCSW 47 Town St, Norwich, CT 06360-2323 Ph: (860) 892-7042 |
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