Leesha Moore, is a medicare enrolled "Social Worker - Clinical" provider in Gastonia, North Carolina. She graduated from healthcare school in 2008 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Monarch and her current practice location is
175 W Franklin Blvd, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 865-3529.
Leesha Moore is licensed to practice in North Carolina (license number P00006986) 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 1750634416.
Healthcare Provider's Profile
| Full Name | Leesha Moore |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 175 W Franklin Blvd, Gastonia, North Carolina |
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| 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:
- Leesha Moore graduated from medical school in 2008
NPI Data:
- NPI Number: 1750634416
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 06/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022439470
- Enrollment ID: I20200610002947
Medical Identifiers
Medical identifiers for Leesha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750634416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P00006986 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Monarch | 0244273852 | 70 |
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. Leesha Moore allows following entities to bill medicare on her behalf.
| Entity Name | Monarch |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
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| Entity Name | One Love Periodic Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225187180 PECOS PAC ID: 8527354810 Enrollment ID: O20160913001914 |
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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. Leesha 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 |
Leesha Moore, 401 Tyler Trail Ct, Apt 322, Charlotte, NC 28262-3397 Ph: (704) 223-0703 | Leesha Moore, 175 W Franklin Blvd, Gastonia, NC 28052-4145 Ph: (704) 865-3529 |
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