Moonshot Therapy & Wellness Llc is a medicare enrolled "Speech-language Pathologist" provider in Esmont, Virginia. Their current practice location is
5880 Secretarys Sand Rd, Esmont, Virginia. You can reach out to their office (for appointments etc.) via phone at
(325) 518-3702.
Moonshot Therapy & Wellness Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Moonshot Therapy & Wellness Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700541604.
Healthcare Provider's Profile
Full Name | Moonshot Therapy & Wellness Llc |
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Type | Facility |
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Speciality | Speech-language Pathologist |
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Location | 5880 Secretarys Sand Rd, Esmont, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700541604
- Provider Enumeration Date: 11/04/2021
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769872357
- Enrollment ID: O20211214003159
Medical Identifiers
Medical identifiers for Moonshot Therapy & Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700541604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Moonshot Therapy & Wellness Llc acts as a billing entity for following providers:
Provider Name | Jennifer Best |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
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Provider Identifiers | NPI Number: 1194499368 PECOS PAC ID: 3678963261 Enrollment ID: I20211214003168 |
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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. Moonshot Therapy & Wellness Llc 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 |
Moonshot Therapy & Wellness Llc 5880 Secretarys Sand Rd, Esmont, VA 22937-1510 Ph: (325) 518-3702 | Moonshot Therapy & Wellness Llc 5880 Secretarys Sand Rd, Esmont, VA 22937-1510 Ph: (325) 518-3702 |
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