Ms Brandi N Moore, PA is a medicare enrolled "Physician Assistant" physician in Max Meadows, Virginia. Her current practice location is
245 Fort Chiswell Rd Ste D, Max Meadows, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 613-6991.
Ms Brandi N Moore is licensed to practice in Virginia (license number 0110-002204) 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 1528041381.
Physician's Profile
Full Name | Ms Brandi N Moore |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 245 Fort Chiswell Rd Ste D, Max Meadows, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528041381
- Provider Enumeration Date: 11/25/2005
- Last Update Date: 01/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012921018
- Enrollment ID: I20060130000253
Medical Identifiers
Medical identifiers for Ms Brandi N Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528041381 | NPI | - | NPPES |
10220815 | Medicaid | VA | |
010220793 | Medicaid | VA | |
010220807 | Medicaid | VA | |
1068476 | Other | VA | NCCPA CERTIFICATE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0110-002204 (Virginia) | Secondary |
363A00000X | Physician Assistant | 0110-002204 (Virginia) | Primary |
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. Ms Brandi N 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 |
Ms Brandi N Moore, PA 1123 Powder Mill Rd, Ivanhoe, VA 24350-3559 Ph: (276) 699-0105 | Ms Brandi N Moore, PA 245 Fort Chiswell Rd Ste D, Max Meadows, VA 24360-3987 Ph: (276) 613-6991 |
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