Marissa Moore, PT, DPT in Cumming, GA - Medicare Physical Therapist Provider

Marissa Moore, PT, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Cumming, Georgia. Her current practice location is 5610 Bethelview Rd Ste 400, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 781-8851.

Marissa Moore is licensed to practice in Georgia (license number PT011816) 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 1912397050.

Contact Information

	Marissa Moore, PT, DPT
	5610 Bethelview Rd Ste 400, Cumming, GA 30040-7523
	(770) 781-8851
	(770) 781-8227

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Moore
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	5610 Bethelview Rd Ste 400, Cumming, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912397050
Provider Enumeration Date: 01/28/2015
Last Update Date: 03/04/2015

Medicare PECOS Information:

PECOS PAC ID: 1355653718
Enrollment ID: I20150629001021

Medical Identifiers

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

Identifier	Type	State	Issuer
1912397050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT011816 (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. Marissa Moore allows following entities to bill medicare on her behalf.

Provider Name	Impulse Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659008829 PECOS PAC ID: 1355726563 Enrollment ID: O20220923000242

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. Marissa 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
Marissa Moore, PT, DPT 912 Ashford Pkwy, Dunwoody, GA 30338-5540 Ph: (336) 209-4247	Marissa Moore, PT, DPT 5610 Bethelview Rd Ste 400, Cumming, GA 30040-7523 Ph: (770) 781-8851

Reviews and Comments

Physical Therapist in Cumming, GA

Laura J Sparks, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mountain View Dr, Suite 100, Cumming, GA 30040 Phone: 770-889-2163
Marcus Belizaire, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4640 Martin Road, Cumming, GA 30041 Phone: 678-679-1261 Fax: 678-250-9010
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5310 Matt Hwy Ste 105, Cumming, GA 30028 Phone: 470-239-4255
Mackenzie L Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1715 Friendship Cir Ste 300, Cumming, GA 30028 Phone: 770-240-1063 Fax: 470-745-6035
Janice Allman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mountain View Dr, Suite 100, Cumming, GA 30040 Phone: 770-889-2163
Tina Mcginley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Overlake Dr, Cumming, GA 30041 Phone: 770-363-5600
Joel Nabors, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Peachtree Parkway, Suite 101, Cumming, GA 30041 Phone: 678-455-5600 Fax: 678-455-4554

Marissa Moore, PT, DPT - Medicare Physical Therapist in Cumming, GA