Mrs Casey Moore, CPNP in Hartsville, SC - Medicare Nurse Practitioner

Mrs Casey Moore, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hartsville, South Carolina. Her current practice location is 518 E Carolina Ave, Hartsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 383-4426.

Mrs Casey Moore is licensed to practice in South Carolina (license number 19048) 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 1407253644.

Contact Information

	Mrs Casey Moore, CPNP
	518 E Carolina Ave, Hartsville, SC 29550-4312
	(843) 383-4426
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Casey Moore
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	518 E Carolina Ave, Hartsville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407253644
Provider Enumeration Date: 12/03/2014
Last Update Date: 12/03/2014

Medicare PECOS Information:

PECOS PAC ID: 7012459407
Enrollment ID: I20240613001146

Medical Identifiers

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

Identifier	Type	State	Issuer
1407253644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	19048 (South Carolina)	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. Mrs Casey Moore allows following entities to bill medicare on her behalf.

Entity Name	Mcleod Physician Associates Ii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568

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. Mrs Casey 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
Mrs Casey Moore, CPNP 518 E Carolina Ave, Hartsville, SC 29550-4312 Ph: () -	Mrs Casey Moore, CPNP 518 E Carolina Ave, Hartsville, SC 29550-4312 Ph: (843) 383-4426

Reviews and Comments

Nurse Practitioner Nurses in Hartsville, SC

Mrs. Zita Acuna Andreski, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985
Ms. Gyetri Mitchell, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-4600
Mr. Robert Alexander Campbell Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Medical Park Dr Ste 207, Hartsville, SC 29550 Phone: 843-383-5191 Fax: 843-332-9229
Katelon Marie Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-339-5518
Staci Leigh Cassidy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985
Aquilla Bec, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-0118
Ms. Elizabeth Anne Sorg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985

Mrs Casey Moore, CPNP - Medicare Nurse Practitioner in Hartsville, SC