Lashanda Denise Moore, NP - Medicare Nurse Practitioner in Stone Mountain, GA

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Lashanda Denise Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Stone Mountain, Georgia. Her current practice location is 5582 Memorial Dr, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 298-8998.

Lashanda Denise Moore is licensed to practice in Georgia (license number RN249446) 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 1205306891.

Contact Information

Lashanda Denise Moore, NP
5582 Memorial Dr,
Stone Mountain, GA 30083-3215
(404) 298-8998
Not Available

Map and Direction




Provider's Profile

Full NameLashanda Denise Moore
GenderFemale
SpecialityNurse Practitioner - Family
Location5582 Memorial Dr, Stone Mountain, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205306891
  • Provider Enumeration Date: 11/27/2018
  • Last Update Date: 01/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8325479140
  • Enrollment ID: I20200512001111

Medical Identifiers

Medical identifiers for Lashanda Denise Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205306891NPI-NPPES
1205306891MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN249446 (Georgia)Primary
363L00000XNurse Practitioner RN249446 (Georgia)Secondary

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. Lashanda Denise Moore allows following entities to bill medicare on her behalf.
Entity NameMedcura Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417011487
PECOS PAC ID: 2961443643
Enrollment ID: O20120509000245
Entity NameMc Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356907695
PECOS PAC ID: 4183955974
Enrollment ID: O20191009000622

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. Lashanda Denise 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 AddressPractice Location Address
Lashanda Denise Moore, NP
5582 Memorial Dr,
Stone Mountain, GA 30083-3215

Ph: (404) 298-8998		Lashanda Denise Moore, NP
5582 Memorial Dr,
Stone Mountain, GA 30083-3215

Ph: (404) 298-8998

Reviews and Comments


Nurse Practitioner Nurses in Stone Mountain, GA

Mrs. Sherly John,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083
Phone: 404-809-2408    
Wendy Woodward Schaal, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083
Phone: 404-508-6499    
Roneshia Michelle Rudolph-meadows, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083
Phone: 770-322-6161    Fax: 770-322-6191
Julie Noelle Knisely, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083
Phone: 404-298-8998    
Pauline Kpannah,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083
Phone: 678-396-0843    
Nikeisha Clevia Oliver,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087
Phone: 770-413-1476    
Andrea Zmaj, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083
Phone: 770-322-6161    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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