Shana Loleta Moore, MA is a medicare enrolled "Audiologist" provider in Holly Springs, North Carolina. She went to Cincinnati College Of Medicine And Surgery and graduated in 2003 and has 22 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Cape Fear Valley Health Medical Group Llc and her current practice location is
500 Holly Springs Rd, Holly Springs, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 225-2558.
Shana Loleta Moore is licensed to practice in North Carolina (license number 13297) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669031498.
Healthcare Provider's Profile
| Full Name | Shana Loleta Moore |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 22 Years |
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| Location | 500 Holly Springs Rd, Holly Springs, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shana Loleta Moore attended and graduated from Cincinnati College Of Medicine And Surgery in 2003
NPI Data:
- NPI Number: 1669031498
- Provider Enumeration Date: 06/05/2019
- Last Update Date: 06/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 0840277877
- Enrollment ID: I20190905000830
Medical Identifiers
Medical identifiers for Shana Loleta Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669031498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 13297 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cape Fear Valley Health Medical Group Llc | 0648707109 | 119 |
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. Shana Loleta Moore allows following entities to bill medicare on her behalf.
| Provider Name | Harnett Health System Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386121929
PECOS PAC ID: 6204748544
Enrollment ID: O20031104000526 |
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| Provider Name | Mann Ear Nose & Throat Clinic Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801838677
PECOS PAC ID: 6507946597
Enrollment ID: O20080103000220 |
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| Provider Name | Cape Fear Valley Health Medical Group Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235957655
PECOS PAC ID: 0648707109
Enrollment ID: O20241220003892 |
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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. Shana Loleta 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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Shana Loleta Moore, MA
500 Holly Springs Rd,
Holly Springs, NC 27540-6204
Ph: (984) 225-2558 | Shana Loleta Moore, MA
500 Holly Springs Rd,
Holly Springs, NC 27540-6204
Ph: (984) 225-2558 |
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