Dr Mallory Moore, PT,DPT in Palmyra, VA - Medicare Physical Therapist Provider

Dr Mallory Moore, PT,DPT is a medicare enrolled "Physical Therapist" provider in Palmyra, Virginia. Her current practice location is 100 Crofton Pl, Palmyra, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 589-9588.

Dr Mallory Moore is licensed to practice in Virginia (license number 2305210720) 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 1396146403.

Contact Information

	Dr Mallory Moore, PT,DPT
	100 Crofton Pl, Palmyra, VA 22963-3300
	(434) 589-9588
	(434) 589-4096

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mallory Moore
Gender	Female
Speciality	Physical Therapist
Location	100 Crofton Pl, Palmyra, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396146403
Provider Enumeration Date: 09/08/2014
Last Update Date: 01/15/2018

Medicare PECOS Information:

PECOS PAC ID: 0345569646
Enrollment ID: I20210709002803

Medical Identifiers

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

Identifier	Type	State	Issuer
1396146403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305210720 (Virginia)	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. Dr Mallory Moore allows following entities to bill medicare on her behalf.

Provider Name	Virginia Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210319000961

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. Dr Mallory 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
Dr Mallory Moore, PT,DPT 4668 Pembroke Blvd Ste 115, Virginia Beach, VA 23455-6423 Ph: (757) 648-8562	Dr Mallory Moore, PT,DPT 100 Crofton Pl, Palmyra, VA 22963-3300 Ph: (434) 589-9588

Reviews and Comments

Physical Therapist in Palmyra, VA

Jodie L. Stellern, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Crofton Pl, Palmyra, VA 22963 Phone: 434-589-9588 Fax: 434-589-4096
Bodyworks Physical Therapy And Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 285 Jefferson Dr, Palmyra, VA 22963 Phone: 434-589-8865 Fax: 434-589-8865
Kathleen Lovell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Crofton Pl, Palmyra, VA 22963 Phone: 434-589-4096
Susan W. Watkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Crofton Pl, Palmyra, VA 22963 Phone: 434-589-9588 Fax: 434-589-4096
Heather Ann Barlow, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 Market St Ste B, Palmyra, VA 22963 Phone: 434-510-7301 Fax: 434-510-7418
Ms. Kateri Dana Rupnarine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Crofton Pl, Palmyra, VA 22963 Phone: 540-558-8398
Mahnaz Aboufazeli, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 Crofton Pl, Palmyra, VA 22963 Phone: 434-589-9588 Fax: 434-589-4096

Dr Mallory Moore, PT,DPT - Medicare Physical Therapist in Palmyra, VA