Leesha Moore, is a medicare enrolled "Social Worker - Clinical" provider in Gastonia, North Carolina. Her current practice location is
175 W Franklin Blvd, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 865-3529.
Leesha Moore is licensed to practice in North Carolina (license number P00006986) 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 1750634416.
Healthcare Provider's Profile
Full Name | Leesha Moore |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 175 W Franklin Blvd, Gastonia, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750634416
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 06/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022439470
- Enrollment ID: I20200610002947
Medical Identifiers
Medical identifiers for Leesha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750634416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | P00006986 (North Carolina) | 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. Leesha Moore allows following entities to bill medicare on her behalf.
Entity Name | Monarch |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
---|
Entity Name | One Love Periodic Services Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1225187180 PECOS PAC ID: 8527354810 Enrollment ID: O20160913001914 |
---|
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. Leesha 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 |
Leesha Moore, 401 Tyler Trail Ct, Apt 322, Charlotte, NC 28262-3397 Ph: (704) 223-0703 | Leesha Moore, 175 W Franklin Blvd, Gastonia, NC 28052-4145 Ph: (704) 865-3529 |
Reviews and Comments