Amy C Moore, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in East Brewton, Alabama. Her current practice location is
403 Forrest Ave, East Brewton, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 363-6213.
Amy C Moore is licensed to practice in Alabama (license number 2071) 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 1447492293.
Healthcare Provider's Profile
| Full Name | Amy C Moore |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 403 Forrest Ave, East Brewton, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447492293
- Provider Enumeration Date: 03/25/2009
- Last Update Date: 08/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971995234
- Enrollment ID: I20220118001434
Medical Identifiers
Medical identifiers for Amy C Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447492293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 2071 (Alabama) | 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. Amy C Moore allows following entities to bill medicare on her behalf.
| Provider Name | Moore Therapy Services P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790452373
PECOS PAC ID: 2062804321
Enrollment ID: O20220118001165 |
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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. Amy C 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 |
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Amy C Moore, MS, CCC-SLP
152 Belle Meade Dr,
Brewton, AL 36426-4006
Ph: (251) 363-6213 | Amy C Moore, MS, CCC-SLP
403 Forrest Ave,
East Brewton, AL 36426-2622
Ph: (251) 363-6213 |
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