Kathleen L Moore, RD in Mt Pleasant, MI - Medicare Dietitian, Registered Provider

Kathleen L Moore, RD is a medicare enrolled "Dietitian, Registered" provider in Mt Pleasant, Michigan. Her current practice location is 3267 Mineral Springs Trl, Mt Pleasant, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 954-5380.

Kathleen L Moore is licensed to practice in Ohio (license number LD.08856) 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 1932448206.

Contact Information

	Kathleen L Moore, RD
	3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694
	(989) 954-5380
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen L Moore
Gender	Female
Speciality	Dietitian, Registered
Location	3267 Mineral Springs Trl, Mt Pleasant, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932448206
Provider Enumeration Date: 02/06/2013
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8426099334
Enrollment ID: I20240119001604

Medical Identifiers

Medical identifiers for Kathleen L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932448206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1006X	Dietitian, Registered - Nutrition, Metabolic	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	LD.08856 (Ohio)	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. Kathleen L Moore allows following entities to bill medicare on her behalf.

Provider Name	Osu General Internal Medicine Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603

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. Kathleen L 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
Kathleen L Moore, RD 3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694 Ph: (989) 954-5380	Kathleen L Moore, RD 3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694 Ph: (989) 954-5380

Reviews and Comments

Dietitian, Registered in Mt Pleasant, MI

Sally W Van Cise, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2591 S Leaton Rd, Mt Pleasant, MI 48858 Phone: 989-775-4615
Corinna Rachel Kudwa, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 113 W Broadway St Ste 200, Mt Pleasant, MI 48858 Phone: 989-400-1478
Roschelle A Heuberger, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1101 Health Professions Bldg, Mt Pleasant, MI 48859 Phone: 989-774-3904 Fax: 989-774-1891
Michelle Rocco, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1750 E Bellows St, Mt Pleasant, MI 48858 Phone: 989-953-5800
Wendy Nevins, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1750 E Bellows St, Mt Pleasant, MI 48858 Phone: 989-953-5800
Marissa Karen Spickerman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1750 E Bellows St, Mt Pleasant, MI 48858 Phone: 989-953-5804

Kathleen L Moore, RD - Medicare Dietitian in Mt Pleasant, MI