Tyra N Moore, LMSW, LCSW in West Lafayette, IN - Medicare Social Worker Provider

Tyra N Moore, LMSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Lafayette, Indiana. Her current practice location is 1305 Cumberland Ave Ste 205, West Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 429-2765.

Tyra N Moore is licensed to practice in Indiana (license number 34007393A) 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 1265627483.

Contact Information

	Tyra N Moore, LMSW, LCSW
	1305 Cumberland Ave Ste 205, West Lafayette, IN 47906-1348
	(765) 429-2765
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyra N Moore
Gender	Female
Speciality	Social Worker - Clinical
Location	1305 Cumberland Ave Ste 205, West Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265627483
Provider Enumeration Date: 09/11/2007
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5890927214
Enrollment ID: I20160802000510

Medical Identifiers

Medical identifiers for Tyra N Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265627483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34007393A (Indiana)	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. Tyra N Moore allows following entities to bill medicare on her behalf.

Entity Name	Riggs Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386660900 PECOS PAC ID: 2365432226 Enrollment ID: O20040513001185

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. Tyra N 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
Tyra N Moore, LMSW, LCSW 1305 Cumberland Ave Ste 205, West Lafayette, IN 47906-1348 Ph: (765) 201-0518	Tyra N Moore, LMSW, LCSW 1305 Cumberland Ave Ste 205, West Lafayette, IN 47906-1348 Ph: (765) 429-2765

Reviews and Comments

Social Worker in West Lafayette, IN

Genevieve Judayna Elmahdi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 Augusta Blvd, West Lafayette, IN 47906 Phone: 765-427-0486
Sally Ann Timmons, LCSW, RN Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-404-6431 Fax: 765-477-7843
Mrs. Malissa Kaye Crowe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-491-6175 Fax: 765-743-5850
Mr. Christopher Hutcheson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Foundry Dr Ste 1200, West Lafayette, IN 47906 Phone: 765-299-6807 Fax: 765-637-7402
Ms. Gwenda Sue Eiler, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Stadium Mall Dr., Purdue Univeristy Student Health Center, West Lafayette, IN 47907 Phone: 765-494-6995 Fax: 765-496-2139
Mr. Ryaan J Mansouri, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 Win Hentschel Blvd Ste 222, West Lafayette, IN 47906 Phone: 765-237-9091 Fax: 765-374-2752

Tyra N Moore, LMSW, LCSW - Medicare Clinical Social Worker in West Lafayette, IN