Tracy Sherrille Copeland Moore, LCSW in Midlothian, VA

Tracy Sherrille Copeland Moore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Midlothian, Virginia. Her current practice location is 3119 Fox Chase Dr, Midlothian, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 888-2813.

Tracy Sherrille Copeland Moore is licensed to practice in Virginia (license number 0904015128) 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 1851080295.

Contact Information

	Tracy Sherrille Copeland Moore, LCSW
	3119 Fox Chase Dr, Midlothian, VA 23112-4474
	(804) 888-2813
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Sherrille Copeland Moore
Gender	Female
Speciality	Social Worker - Clinical
Location	3119 Fox Chase Dr, Midlothian, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851080295
Provider Enumeration Date: 05/02/2023
Last Update Date: 05/02/2023

Medicare PECOS Information:

PECOS PAC ID: 0840651469
Enrollment ID: I20230731000257

Medical Identifiers

Medical identifiers for Tracy Sherrille Copeland Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851080295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904015128 (Virginia)	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. Tracy Sherrille Copeland Moore allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144

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. Tracy Sherrille Copeland 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
Tracy Sherrille Copeland Moore, LCSW 3119 Fox Chase Dr., Midlothian Va 23112, Midlothian, VA 23112-3119 Ph: (804) 888-2813	Tracy Sherrille Copeland Moore, LCSW 3119 Fox Chase Dr, Midlothian, VA 23112-4474 Ph: (804) 888-2813

Reviews and Comments

Social Worker in Midlothian, VA

Megan Elizabeth Mastrofrancesco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1713 Tremelo Trl, Midlothian, VA 23113 Phone: 571-428-3193
Dena Maria Wentz, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13817 Village Mill Dr Ste R, Midlothian, VA 23114 Phone: 855-284-7483 Fax: 617-807-0958
Kathleen S Levenston, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5001 W Village Green Dr Ste 205, Midlothian, VA 23112 Phone: 833-510-4357
Jennifer Zito, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 Founders Bridge Blvd, Midlothian, VA 23113 Phone: 804-210-5448
G. Tricia Baggett-phelps, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10128 Hull Street Rd, Midlothian, VA 23112 Phone: 804-276-5761 Fax: 804-745-3626
Ms. Sandra Goolsby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13301 Midlothian Tpke Ste D, Midlothian, VA 23113 Phone: 804-464-1928
Yesenia Villalta, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14321 Winter Breeze Dr # 50, Midlothian, VA 23113 Phone: 571-317-1833

Tracy Sherrille Copeland Moore, LCSW - Medicare Clinical Social Worker in Midlothian, VA