Kelley B Moule, MSW, LMSW - Medicare Counselor in Jackson, MS

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Kelley B Moule, MSW, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Jackson, Mississippi. Her current practice location is 1200 N State St Ste 455, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 957-7343.

Kelley B Moule is licensed to practice in Mississippi (license number C9980) 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 1689984916.

Contact Information

Kelley B Moule, MSW, LMSW
1200 N State St Ste 455,
Jackson, MS 39202-2000
(601) 957-7343
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKelley B Moule
GenderFemale
SpecialitySocial Worker - Clinical
Location1200 N State St Ste 455, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689984916
  • Provider Enumeration Date: 10/20/2010
  • Last Update Date: 01/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800293226
  • Enrollment ID: I20210927002505

Medical Identifiers

Medical identifiers for Kelley B Moule such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689984916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 9101 (South Carolina)Secondary
1041C0700XSocial Worker - Clinical C9980 (Mississippi)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. Kelley B Moule allows following entities to bill medicare on her behalf.
Entity NameOak Street Health Physicians Group Of Mississippi, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235754995
PECOS PAC ID: 7012334170
Enrollment ID: O20200903001414

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. Kelley B Moule 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 AddressPractice Location Address
Kelley B Moule, MSW, LMSW
1000 Urban Center Dr Ste 600,
Vestavia, AL 35242-2584

Ph: (205) 208-9312		Kelley B Moule, MSW, LMSW
1200 N State St Ste 455,
Jackson, MS 39202-2000

Ph: (601) 957-7343

Reviews and Comments


Social Worker in Jackson, MS


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.