Erica Lenore Moore, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Meridianville, Alabama. Her current practice location is
114 Cove Brook Dr, Meridianville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(770) 853-4599.
Erica Lenore Moore is licensed to practice in Georgia (license number OT004911) 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 1659606614.
Healthcare Provider's Profile
Full Name | Erica Lenore Moore |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 114 Cove Brook Dr, Meridianville, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659606614
- Provider Enumeration Date: 10/08/2009
- Last Update Date: 09/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961858576
- Enrollment ID: I20231101003452
Medical Identifiers
Medical identifiers for Erica Lenore Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659606614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 7148 (Tennessee) | Secondary |
225X00000X | Occupational Therapist | OT004911 (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. Erica Lenore Moore allows following entities to bill medicare on her behalf.
Provider Name | Broad River Rehabilitation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1902317589 PECOS PAC ID: 3375801350 Enrollment ID: O20201229002348 |
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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. Erica Lenore 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 |
Erica Lenore Moore, MS, OTR/L 24623 Union Hill Rd, Ardmore, TN 38449-3101 Ph: (931) 427-2143 | Erica Lenore Moore, MS, OTR/L 114 Cove Brook Dr, Meridianville, AL 35759-7300 Ph: (770) 853-4599 |
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