Tomeko Moore, is a medicare enrolled "Social Worker - Clinical" provider in Greensboro, North Carolina. Her current practice location is
5 Centerview Dr, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 887-0708.
Tomeko Moore is licensed to practice in North Carolina (license number P009579) 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 1336529957.
Healthcare Provider's Profile
| Full Name | Tomeko Moore |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5 Centerview Dr, Greensboro, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336529957
- Provider Enumeration Date: 06/09/2015
- Last Update Date: 06/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 3072640721
- Enrollment ID: I20150908002372
Medical Identifiers
Medical identifiers for Tomeko Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336529957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-21233 (North Carolina) | Secondary |
| 104100000X | Social Worker | P009579 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P009579 (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. Tomeko Moore allows following entities to bill medicare on her behalf.
| Entity Name | Envisions Of Life Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881788818
PECOS PAC ID: 0749317493
Enrollment ID: O20100428000794 |
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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. Tomeko 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 |
|---|
Tomeko Moore,
4912 Legacy Dr,
Colfax, NC 27235-9436
Ph: (336) 285-7449 | Tomeko Moore,
5 Centerview Dr,
Greensboro, NC 27407-3724
Ph: (336) 887-0708 |
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