Mrs Angela Ellen Moore, LCMHCS in Fayetteville, NC

Mrs Angela Ellen Moore, LCMHCS is a medicare enrolled "Counselor - Mental Health" provider in Fayetteville, North Carolina. Her current practice location is 6781 Camden Rd, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (877) 358-2998.

Mrs Angela Ellen Moore is licensed to practice in North Carolina (license number S5187) 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 1265533368.

Contact Information

	Mrs Angela Ellen Moore, LCMHCS
	6781 Camden Rd, Fayetteville, NC 28306-7223
	(877) 358-2998
	(423) 405-6346

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Angela Ellen Moore
Gender	Female
Speciality	Counselor - Mental Health
Location	6781 Camden Rd, Fayetteville, 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: 1265533368
Provider Enumeration Date: 09/25/2006
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 1254867419
Enrollment ID: I20241211001321

Medical Identifiers

Medical identifiers for Mrs Angela Ellen Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265533368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	S5187 (North Carolina)	Secondary
101Y00000X	Counselor	S5187 (North Carolina)	Secondary
104100000X	Social Worker	S5187 (North Carolina)	Secondary
106H00000X	Marriage & Family Therapist	S5187 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	S5187 (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. Mrs Angela Ellen Moore allows following entities to bill medicare on her behalf.

Entity Name	Elu, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396222394 PECOS PAC ID: 7719228451 Enrollment ID: O20230210000522

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. Mrs Angela Ellen 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
Mrs Angela Ellen Moore, LCMHCS 1101 W 40th St Unit 2225, Chattanooga, TN 37409-1379 Ph: (877) 358-2998	Mrs Angela Ellen Moore, LCMHCS 6781 Camden Rd, Fayetteville, NC 28306-7223 Ph: (877) 358-2998

Reviews and Comments

Counselor in Fayetteville, NC

Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385
Rivette Cole, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306 Phone: 910-797-6511 Fax: 910-491-1000
Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942

Mrs Angela Ellen Moore, LCMHCS - Medicare Counselor in Fayetteville, NC