Jessica Moore, LPC in West Columbia, SC - Medicare Counselor Provider

Jessica Moore, LPC is a medicare enrolled "Counselor - Mental Health" provider in West Columbia, South Carolina. Her current practice location is 671 Cheehaw Ave, West Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 477-6255.

Jessica Moore is licensed to practice in South Carolina (license number 10429) 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 1720718240.

Contact Information

	Jessica Moore, LPC
	671 Cheehaw Ave, West Columbia, SC 29170-2276
	(803) 477-6255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Moore
Gender	Female
Speciality	Counselor - Mental Health
Location	671 Cheehaw Ave, West Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720718240
Provider Enumeration Date: 06/16/2022
Last Update Date: 11/17/2024

Medicare PECOS Information:

PECOS PAC ID: 3870019342
Enrollment ID: I20250428002780

Medical Identifiers

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

Identifier	Type	State	Issuer
1720718240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	10429 (South Carolina)	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. Jessica Moore allows following entities to bill medicare on her behalf.

Entity Name	Oceanic Counseling Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922631522 PECOS PAC ID: 4486067600 Enrollment ID: O20210107002393

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. Jessica 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
Jessica Moore, LPC 671 Cheehaw Ave, West Columbia, SC 29170-2276 Ph: (803) 477-6255	Jessica Moore, LPC 671 Cheehaw Ave, West Columbia, SC 29170-2276 Ph: (803) 477-6255

Reviews and Comments

Counselor in West Columbia, SC

John Loren Safko, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600
Amanda Charlotte-weinland Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2490 Fish Hatchery Rd Unit G3, West Columbia, SC 29172 Phone: 916-397-7852
William Ryan Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4788 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-359-8595
Tiffany Deanna Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Lake Frances Dr, West Columbia, SC 29170 Phone: 803-429-1259
Devin Dotter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2277 Sunset Blvd, West Columbia, SC 29169 Phone: 888-796-1117 Fax: 803-996-5228
Sharon Denice Harvin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600
Dana A Gates, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 749 B Ave, West Columbia, SC 29169 Phone: 803-467-4787

Jessica Moore, LPC - Medicare Counselor in West Columbia, SC