Audrey Grace Moore, in Gastonia, NC - Medicare Optometrist Provider

Audrey Grace Moore, is a medicare enrolled "Optometrist" provider in Gastonia, North Carolina. Her current practice location is 2555 Court Dr Ste 150, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 864-7789.

Audrey Grace Moore is licensed to practice in North Carolina (license number 2733) 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 1508567249.

Contact Information

	Audrey Grace Moore,
	2555 Court Dr Ste 150, Gastonia, NC 28054-2187
	(704) 864-7789
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Audrey Grace Moore
Gender	Female
Speciality	Optometrist
Location	2555 Court Dr Ste 150, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508567249
Provider Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4082088364
Enrollment ID: I20230328002928

Medical Identifiers

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

Identifier	Type	State	Issuer
1508567249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2733 (North 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. Audrey Grace Moore allows following entities to bill medicare on her behalf.

Provider Name	Clark Optometric Center Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588619217 PECOS PAC ID: 6709911092 Enrollment ID: O20100311000546

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. Audrey Grace 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
Audrey Grace Moore, 2555 Court Dr Ste 150, Gastonia, NC 28054-2187 Ph: () -	Audrey Grace Moore, 2555 Court Dr Ste 150, Gastonia, NC 28054-2187 Ph: (704) 864-7789

Reviews and Comments

Optometrist in Gastonia, NC

Dr. Robert Lee Sullivan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2325 Aberdeen Blvd, Suite A, Gastonia, NC 28054 Phone: 704-853-3937 Fax: 704-853-0840
Cristian Lopez, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2555 Court Dr Ste 150, Gastonia, NC 28054 Phone: 704-864-7789
Dr. Ann M Hoscheit, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 640 Summit Crossing Pl, Suite 202, Gastonia, NC 28054 Phone: 704-865-3937
Melissa Chen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2555 Court Dr Ste 150, Gastonia, NC 28054 Phone: 704-864-7789
Accuvision Eye Care Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 3916 E Franklin Blvd Ste 160, Gastonia, NC 28056 Phone: 704-565-0660 Fax: 704-824-2192
Dr Kleinau And Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 246 N New Hope Rd, Gastonia, NC 28054 Phone: 707-867-1392
Ms. My Thuan Luong Do, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3916 E Franklin Blvd Ste 160, Gastonia, NC 28056 Phone: 704-340-3170 Fax: 704-824-2192

Audrey Grace Moore, - Medicare Optometrist in Gastonia, NC