Mrs Deborah B Moore, MED CSAC, LPC in Big Stone Gap, VA

Mrs Deborah B Moore, MED CSAC, LPC is a medicare enrolled "Counselor - Professional" provider in Big Stone Gap, Virginia. Her current practice location is 3169 2nd Avenue East, Big Stone Gap, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 523-8318.

Mrs Deborah B Moore is licensed to practice in Virginia (license number 0701004182) 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 1386782662.

Contact Information

	Mrs Deborah B Moore, MED CSAC, LPC
	3169 2nd Avenue East, Big Stone Gap, VA 24219
	(276) 523-8318
	(276) 523-6964

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Deborah B Moore
Gender	Female
Speciality	Counselor - Professional
Location	3169 2nd Avenue East, Big Stone Gap, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386782662
Provider Enumeration Date: 02/01/2007
Last Update Date: 10/11/2019

Medicare PECOS Information:

PECOS PAC ID: 8123469129
Enrollment ID: I20240508001596

Medical Identifiers

Medical identifiers for Mrs Deborah B Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386782662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LPC 0701004182 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701004182 (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. Mrs Deborah B Moore allows following entities to bill medicare on her behalf.

Entity Name	Frontier Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720147408 PECOS PAC ID: 2860302320 Enrollment ID: O20040206000424

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 Deborah B 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 Deborah B Moore, MED CSAC, LPC 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600	Mrs Deborah B Moore, MED CSAC, LPC 3169 2nd Avenue East, Big Stone Gap, VA 24219 Ph: (276) 523-8318

Reviews and Comments

Counselor in Big Stone Gap, VA

Mr. Mark Harrison Wade, LPC CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 276-523-6964
Mr. James Dale Kegley, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Avenue East, Big Stone Gap, VA 24219 Phone: 276-523-8315 Fax: 276-523-6964
Whitney B Trinkle, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Champions Ave, Big Stone Gap, VA 24219 Phone: 276-523-8300
Mrs. Deborah Lynn Skorupa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 622 Powell Ave, Developmental Services, Big Stone Gap, VA 24219 Phone: 276-523-0682 Fax: 276-523-0684
Sharon Short Shaver, BA Counselor Medicare: Medicare Enrolled Practice Location: 622 Powell Ave E, Big Stone Gap, VA 24219 Phone: 276-523-0682 Fax: 423-467-3644
Claressa Rema Young, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2532 4th Avenue East, Big Stone Gap, VA 24219 Phone: 276-523-4357 Fax: 276-523-2527
Michael Sean Halcomb, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 423-467-3644

Mrs Deborah B Moore, MED CSAC, LPC - Medicare Counselor in Big Stone Gap, VA