Leslie Moore, NP in Fayetteville, GA - Medicare Nurse Practitioner

Leslie Moore, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Fayetteville, Georgia. Her current practice location is 1255 Highway 54 W, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 367-3014.

Leslie Moore is licensed to practice in Georgia (license number RN227918) 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 1871961821.

Contact Information

	Leslie Moore, NP
	1255 Highway 54 W, Fayetteville, GA 30214-4526
	(404) 367-3014
	(404) 367-3558

Map and Direction

Provider's Profile

Full Name	Leslie Moore
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1255 Highway 54 W, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871961821
Provider Enumeration Date: 09/08/2015
Last Update Date: 09/05/2018

Medicare PECOS Information:

PECOS PAC ID: 7113228636
Enrollment ID: I20151229000045

Medical Identifiers

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

Identifier	Type	State	Issuer
1871961821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN227918 (Georgia)	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. Leslie Moore allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

Entity Name	Piedmont Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376624940 PECOS PAC ID: 3274529524 Enrollment ID: O20040423000767

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. Leslie 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
Leslie Moore, NP 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (404) 367-3014	Leslie Moore, NP 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (404) 367-3014

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038

Leslie Moore, NP - Medicare Nurse Practitioner in Fayetteville, GA