Ms Kristen Nicole Moore, LMSW in Canton, MI - Medicare Clinical Social Worker Provider

Ms Kristen Nicole Moore, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Canton, Michigan. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Henry Ford Medical Group and her current practice location is 736 Reef Dr, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 702-4302.

Ms Kristen Nicole Moore is licensed to practice in Michigan (license number 6801098511) 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 1619345238.

Contact Information

	Ms Kristen Nicole Moore, LMSW
	736 Reef Dr, Canton, MI 48187-0106
	(248) 702-4302
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kristen Nicole Moore
Gender	Female
Speciality	Clinical Social Worker
Experience	9 Years
Location	736 Reef Dr, Canton, Michigan
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:

Ms Kristen Nicole Moore graduated from medical school in 2015

NPI Data:

NPI Number: 1619345238
Provider Enumeration Date: 09/14/2015
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5799039756
Enrollment ID: I20181112000843

Medical Identifiers

Medical identifiers for Ms Kristen Nicole Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619345238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801098511 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2095

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. Ms Kristen Nicole Moore allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689732414 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000509

Entity Name	Ascension Eastwood Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572

Entity Name	Kristen N Moore Lmsw Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508643511 PECOS PAC ID: 2668818063 Enrollment ID: O20240307002902

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. Ms Kristen Nicole 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
Ms Kristen Nicole Moore, LMSW 736 Reef Dr, Canton, MI 48187-0106 Ph: (248) 702-4302	Ms Kristen Nicole Moore, LMSW 736 Reef Dr, Canton, MI 48187-0106 Ph: (248) 702-4302

Reviews and Comments

Social Worker in Canton, MI

Lisa Dianne Tams, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50361 Hancock St, Canton, MI 48188 Phone: 734-716-2185
Tonya Mcfee, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 48438 Manhattan Cir, Canton, MI 48188 Phone: 313-690-6500 Fax: 734-667-3033
Susan Sloan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6223 N Canton Center Rd, Canton, MI 48187 Phone: 734-737-1200
Heydie Alejandra Orr, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5840 N Canton Center Rd Ste 221, Canton, MI 48187 Phone: 773-454-4898
Alyssa Horton, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 305 Cassia Ct, Canton, MI 48187 Phone: 734-787-6078
Megan Elizabeth Sheeran, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5958 N Canton Center Rd Ste 900, Canton, MI 48187 Phone: 517-882-3732 Fax: 517-882-3633
Ms. Patricia Lynn Wilkinson, LMSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6223 N Canton Center Rd, Ste. 210, Canton, MI 48187 Phone: 734-737-1200

Ms Kristen Nicole Moore, LMSW - Medicare Clinical Social Worker in Canton, MI