Kristi Lee Moore, LAC in Miles City, MT - Medicare Counselor Provider

Kristi Lee Moore, LAC is a medicare enrolled "Counselor - Mental Health" provider in Miles City, Montana. Her current practice location is 2508 Wilson St, Miles City, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 234-1687.

Kristi Lee Moore is licensed to practice in Montana (license number 52801) 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 1245905074.

Contact Information

	Kristi Lee Moore, LAC
	2508 Wilson St, Miles City, MT 59301-5000
	(406) 234-1687
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristi Lee Moore
Gender	Female
Speciality	Counselor - Mental Health
Location	2508 Wilson St, Miles City, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245905074
Provider Enumeration Date: 08/13/2021
Last Update Date: 12/07/2021

Medicare PECOS Information:

PECOS PAC ID: 0244601839
Enrollment ID: I20240117004970

Medical Identifiers

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

Identifier	Type	State	Issuer
1245905074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	50187 (Montana)	Secondary
101YM0800X	Counselor - Mental Health	52801 (Montana)	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. Kristi Lee Moore allows following entities to bill medicare on her behalf.

Entity Name	Bighorn Valley Health Center Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255617130 PECOS PAC ID: 8820246077 Enrollment ID: O20120913000593

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. Kristi Lee 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
Kristi Lee Moore, LAC Po Box 1530, Miles City, MT 59301-1530 Ph: (406) 234-0234	Kristi Lee Moore, LAC 2508 Wilson St, Miles City, MT 59301-5000 Ph: (406) 234-1687

Reviews and Comments

Counselor in Miles City, MT

Miss Allison J Campbell, MS ,LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Wilson St, Miles City, MT 59301 Phone: 406-234-2929
Amanda Dusatko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Wilson St, Miles City, MT 59301 Phone: 406-234-2929 Fax: 406-234-2928
Frank Vonbannisseht, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2508 Wilson St, Miles City, MT 59301 Phone: 406-234-0234 Fax: 406-234-0235
Kristina Emanuel Brakebush, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 2508 Wilson St, Miles City, MT 59301 Phone: 406-234-1687 Fax: 406-234-1698
Sara J Small, ACLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Wilson St, Miles City, MT 59301 Phone: 406-234-2929
Darcy Glade, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 N 8th St, Miles City, MT 59301 Phone: 406-951-0695

Kristi Lee Moore, LAC - Medicare Counselor in Miles City, MT