Mrs Lisa Renee Moore, LCSW in Charleston, MS - Medicare Clinical Social Worker Provider

Mrs Lisa Renee Moore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charleston, Mississippi. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Magnolia Counseling Clinic, Mdb Behavioral Health Services Llc and her current practice location is 3005 Teasdale Rd, Charleston, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 809-0208.

Mrs Lisa Renee Moore is licensed to practice in Mississippi (license number C2276) 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 1922778935.

Contact Information

	Mrs Lisa Renee Moore, LCSW
	3005 Teasdale Rd, Charleston, MS 38921-9576
	(662) 809-0208
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lisa Renee Moore
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	3005 Teasdale Rd, Charleston, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lisa Renee Moore graduated from medical school in 2014

NPI Data:

NPI Number: 1922778935
Provider Enumeration Date: 09/20/2021
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID: 2264829001
Enrollment ID: I20220427000258

Medical Identifiers

Medical identifiers for Mrs Lisa Renee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922778935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C2276 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Magnolia Counseling Clinic	5496176109	4
Mdb Behavioral Health Services Llc	0749572915	80

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. Mrs Lisa Renee Moore allows following entities to bill medicare on her behalf.

Entity Name	Magnolia Counseling Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952940454 PECOS PAC ID: 5496176109 Enrollment ID: O20200605000063

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. Mrs Lisa Renee 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
Mrs Lisa Renee Moore, LCSW 3005 Teasdale Rd, Charleston, MS 38921-9576 Ph: (662) 809-0208	Mrs Lisa Renee Moore, LCSW 3005 Teasdale Rd, Charleston, MS 38921-9576 Ph: (662) 809-0208

Mrs Lisa Renee Moore, LCSW - Medicare Clinical Social Worker in Charleston, MS