Emily Rebecca Moore, MS, RD, CD, CSO in Columbus, WI - Medicare Dietitian, Registered Provider

Emily Rebecca Moore, MS, RD, CD, CSO is a medicare enrolled "Dietitian, Registered" provider in Columbus, Wisconsin. Her current practice location is 1515 Park Ave, Columbus, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 350-2672.

Emily Rebecca Moore is licensed to practice in Wisconsin (license number 253129) 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 1124364377.

Contact Information

	Emily Rebecca Moore, MS, RD, CD, CSO
	1515 Park Ave, Columbus, WI 53925-1618
	(920) 350-2672
	(920) 623-1250

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Rebecca Moore
Gender	Female
Speciality	Dietitian, Registered
Location	1515 Park Ave, Columbus, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124364377
Provider Enumeration Date: 12/17/2012
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6002051802
Enrollment ID: I20130327000417

Medical Identifiers

Medical identifiers for Emily Rebecca Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124364377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	253129 (Wisconsin)	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. Emily Rebecca Moore allows following entities to bill medicare on her behalf.

Provider Name	Prairie Ridge Health Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777

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. Emily Rebecca 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
Emily Rebecca Moore, MS, RD, CD, CSO 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 350-2672	Emily Rebecca Moore, MS, RD, CD, CSO 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 350-2672

Reviews and Comments

Dietitian, Registered in Columbus, WI

Mrs. Katelyn Michele Knapp, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-2200
Emma Hubbard, Dietitian Medicare: Medicare Enrolled Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200
Rachel Ramlet Adler, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-1545 Fax: 920-623-1441
Mrs. Jessica J Davidson, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-1294 Fax: 920-623-1250
Carley Thomas, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 320-623-1292
Lisa M Carda, RD, CD, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Avenue, Columbus, WI 53925 Phone: 920-623-1244 Fax: 920-623-3546

Emily Rebecca Moore, MS, RD, CD, CSO - Medicare Dietitian in Columbus, WI