Kelly C Moore-lawyer, MS, RD, IBCLC, BSN is a medicare enrolled "Dietitian, Registered" in Boulder, Colorado. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Boulder Community Health and her current practice location is
5495 Arapahoe Ave Ste 100, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 415-4250.
Kelly C Moore-lawyer is licensed to practice in Colorado (license number RN.1646745) 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 1689715732.
Provider's Profile
| Full Name | Kelly C Moore-lawyer |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 24 Years |
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| Location | 5495 Arapahoe Ave Ste 100, Boulder, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly C Moore-lawyer graduated from nursing school in 2000
NPI Data:
- NPI Number: 1689715732
- Provider Enumeration Date: 02/10/2007
- Last Update Date: 05/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931453438
- Enrollment ID: I20181120001789
Medical Identifiers
Medical identifiers for Kelly C Moore-lawyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689715732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN.1646745 (Colorado) | Secondary |
| 133V00000X | Dietitian, Registered | RN.1646745 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Boulder Community Health | 6800707233 | 212 |
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. Kelly C Moore-lawyer allows following entities to bill medicare on her behalf.
| Entity Name | Boulder Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821074196
PECOS PAC ID: 6800707233
Enrollment ID: O20040123000284 |
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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. Kelly C Moore-lawyer 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 |
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Kelly C Moore-lawyer, MS, RD, IBCLC, BSN
5450 Western Ave,
Boulder, CO 80301-2709
Ph: (303) 415-4770 | Kelly C Moore-lawyer, MS, RD, IBCLC, BSN
5495 Arapahoe Ave Ste 100,
Boulder, CO 80303-1224
Ph: (303) 415-4250 |
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