Melissa O Motley Moore, LPC in Petersburg, VA

Melissa O Motley Moore, LPC is a medicare enrolled "Counselor - Professional" provider in Petersburg, Virginia. Her current practice location is 1920 Matoax Ave, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 467-5101.

Melissa O Motley Moore is licensed to practice in Virginia (license number 0701006083) 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 1811447584.

Contact Information

	Melissa O Motley Moore, LPC
	1920 Matoax Ave, Petersburg, VA 23805-2843
	(804) 467-5101
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa O Motley Moore
Gender	Female
Speciality	Counselor - Professional
Location	1920 Matoax Ave, Petersburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811447584
Provider Enumeration Date: 10/06/2016
Last Update Date: 10/06/2016

Medicare PECOS Information:

PECOS PAC ID: 5193176261
Enrollment ID: I20240112003170

Medical Identifiers

Medical identifiers for Melissa O Motley Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811447584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701006083 (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. Melissa O Motley Moore allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417

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. Melissa O Motley 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
Melissa O Motley Moore, LPC 1920 Matoax Ave, Petersburg, VA 23805-2843 Ph: (804) 467-5101	Melissa O Motley Moore, LPC 1920 Matoax Ave, Petersburg, VA 23805-2843 Ph: (804) 467-5101

Reviews and Comments

Counselor in Petersburg, VA

Charita Threatt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Holly Hill Dive, Petersburg, VA 23805 Phone: 804-733-8847
Titoni Levon Crenshaw, QMHP, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2825 S Crater Rd, Petersburg, VA 23805 Phone: 804-712-3546
Alexandrea J Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 Fax: 804-518-1341
Ebony Glynn Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874
Ashely Ryan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 20 W Bank St, Suite 5, Petersburg, VA 23803 Phone: 804-863-1689
Mr. Ricky Terrell Norwood Jr., M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Harrison Creek Blvd Apt 6201, Petersburg, VA 23803 Phone: 804-861-4884 Fax: 804-862-7188
Michael Anthony Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N Sycamore St, Petersburg, VA 23803 Phone: 804-919-1199

Melissa O Motley Moore, LPC - Medicare Counselor in Petersburg, VA