Ms Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC in Atlanta, GA

Ms Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Atlanta, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Lotus Haven Pc and her current practice location is 3900 Crown Road S.w., #162432, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 944-1174.

Ms Ayjanah Rasheeda Sherie Moore is licensed to practice in Georgia (license number 2021014950) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871908095.

Contact Information

	Ms Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC
	3900 Crown Road S.w., #162432, Atlanta, GA 30321
	(404) 944-1174
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Ayjanah Rasheeda Sherie Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3900 Crown Road S.w., Atlanta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Ayjanah Rasheeda Sherie Moore graduated from nursing school in 2014

NPI Data:

NPI Number: 1871908095
Provider Enumeration Date: 06/26/2014
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 8628299278
Enrollment ID: I20141023000414

Medical Identifiers

Medical identifiers for Ms Ayjanah Rasheeda Sherie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871908095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	207446 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN207446 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2021014950 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Lotus Haven Pc	4688094980	2

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. Ms Ayjanah Rasheeda Sherie Moore allows following entities to bill medicare on her behalf.

Entity Name	Uhs Of Anchor L.p.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952537920 PECOS PAC ID: 4486684784 Enrollment ID: O20050816001135

Entity Name	The Lotus Haven Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164035564 PECOS PAC ID: 4688094980 Enrollment ID: O20201026000291

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 Ayjanah Rasheeda Sherie 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 Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC 425 Dutchview Dr, Atlanta, GA 30349-7642 Ph: (404) 944-1174	Ms Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC 3900 Crown Road S.w., #162432, Atlanta, GA 30321 Ph: (404) 944-1174

Reviews and Comments

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Ms Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC - Medicare Nurse Practitioner in Atlanta, GA