Pamela Michelle Moore-hardison, MA, MSW is a medicare enrolled "Social Worker - Clinical" provider in Jamesville, North Carolina. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Dream Provider Care Services and her current practice location is
1198 Grey Farm Rd, Jamesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 741-9119.
Pamela Michelle Moore-hardison is licensed to practice in North Carolina (license number C010046) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871839845.
Healthcare Provider's Profile
Full Name | Pamela Michelle Moore-hardison |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 11 Years |
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Location | 1198 Grey Farm Rd, Jamesville, North Carolina |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Pamela Michelle Moore-hardison graduated from medical school in 2013
NPI Data:
- NPI Number: 1871839845
- Provider Enumeration Date: 12/19/2012
- Last Update Date: 01/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820373848
- Enrollment ID: I20170314000325
Medical Identifiers
Medical identifiers for Pamela Michelle Moore-hardison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871839845 | NPI | - | NPPES |
3185 | Other | NC | LICENSED CLINCIAL ADDICTION SPECIALIST |
3185-A | Other | NC | LCASA |
CCS-21001 | Other | NC | CERTIFIED CLINICAL SUPERVISOR-INTERN |
S9919 | Other | NC | LICENSED CLINICAL MENTAL HEALTH COUNSELOR SUPERVISOR (LCMHCS) |
P008534 | Other | NC | LCSWA |
9919 | Other | NC | LICENSED PROFESSIONAL COUNSELOR |
C010046 | Other | NC | LICENSED CLINICAL SOCIAL WORKER |
A9919 | Other | NC | LPCA LICENSE NUMBER |
C010046 | Other | NC | LICENSED CLINCIAL SOCIAL WORKER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3185 (North Carolina) | Secondary |
101YP2500X | Counselor - Professional | 9919 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C010046 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dream Provider Care Services | 3971662636 | 7 |
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. Pamela Michelle Moore-hardison allows following entities to bill medicare on her behalf.
Entity Name | Dream Provider Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912952672 PECOS PAC ID: 3971662636 Enrollment ID: O20081110000595 |
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Entity Name | Milestone Innovative Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295271039 PECOS PAC ID: 1658617196 Enrollment ID: O20190104000290 |
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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. Pamela Michelle Moore-hardison 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 |
Pamela Michelle Moore-hardison, MA, MSW 1198 Grey Farm Rd, Jamesville, NC 27846-9630 Ph: (252) 799-1916 | Pamela Michelle Moore-hardison, MA, MSW 1198 Grey Farm Rd, Jamesville, NC 27846 Ph: (252) 741-9119 |
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