Dr Angela Jannette Moore, LPC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Dora, Alabama. Her current practice location is
2165 Highway 78, Suite 100, Dora, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 648-4567.
Dr Angela Jannette Moore is licensed to practice in Alabama (license number 2425) 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 1609071109.
Healthcare Provider's Profile
Full Name | Dr Angela Jannette Moore |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 2165 Highway 78, Dora, Alabama |
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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: 1609071109
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880039270
- Enrollment ID: I20240226000538
Medical Identifiers
Medical identifiers for Dr Angela Jannette Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609071109 | NPI | - | NPPES |
515-41132 | Other | | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2425 (Alabama) | 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. Dr Angela Jannette Moore allows following entities to bill medicare on her behalf.
Entity Name | Angela Moore Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316279334 PECOS PAC ID: 3971948365 Enrollment ID: O20240226000470 |
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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. Dr Angela Jannette 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 |
Dr Angela Jannette Moore, LPC 5484 Littleton Kilgore Rd, Dora, AL 35062-2547 Ph: (205) 365-7699 | Dr Angela Jannette Moore, LPC 2165 Highway 78, Suite 100, Dora, AL 35062-4548 Ph: (205) 648-4567 |
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