Jessica Lee Moore, LICSW - Medicare Clinical Social Worker in Roseville, MN

Jessica Lee Moore, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Roseville, Minnesota. Her current practice location is 2700 Snelling Ave N Ste 400, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 210-4698.

Jessica Lee Moore is licensed to practice in Minnesota (license number 29099) 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 1750002929.

Contact Information

Jessica Lee Moore, LICSW
2700 Snelling Ave N Ste 400,
Roseville, MN 55113-1783
(763) 210-4698
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJessica Lee Moore
GenderFemale
SpecialitySocial Worker - Clinical
Location2700 Snelling Ave N Ste 400, Roseville, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750002929
  • Provider Enumeration Date: 09/07/2022
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789030545
  • Enrollment ID: I20231031000443

Medical Identifiers

Medical identifiers for Jessica Lee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750002929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 29099 (Minnesota)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. Jessica Lee Moore allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Jessica Lee 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 AddressPractice Location Address
Jessica Lee Moore, LICSW
3116 Emerson Ave S Apt 3,
Minneapolis, MN 55408-2774

Ph: (763) 458-6143
Jessica Lee Moore, LICSW
2700 Snelling Ave N Ste 400,
Roseville, MN 55113-1783

Ph: (763) 210-4698

Reviews and Comments


Social Worker in Roseville, MN

Samuel Johnson,
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 2680 Snelling Ave N Ste 200, Roseville, MN 55113
Phone: 651-364-9381    
Andrea Mccormick,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2277 Highway 36 W Ste 310, Roseville, MN 55113
Phone: 651-252-7755    Fax: 612-331-3520
Lisa M Borneman, DSW, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2233 Hamline Ave N Ste 512, Roseville, MN 55113
Phone: 651-690-6721    
Jean Gregg, LICSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 2233 Hamline Ave N Ste 435, Roseville, MN 55113
Phone: 651-216-1935    
Errin Marie Musich, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2277 Highway 36 W Ste 160, Roseville, MN 55113
Phone: 763-575-8086    
Cimena Gordon, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2277 Highway 36 W, Suite 310, Roseville, MN 55113
Phone: 651-224-2172    
Samantha Oren, LGSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113
Phone: 763-210-4698    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.