Leesha Moore, is a medicare enrolled "Social Worker - Clinical" provider in Gastonia, North Carolina. She graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. 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 | 18 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: I20260331003842
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 | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | P00006986 (North 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. Leesha Moore allows following entities to bill medicare on her behalf.
| Entity Name | Psychiatry of Texas PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013476027 PECOS PAC ID: 0345573598 Enrollment ID: O20241119002452 |
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| Entity Name | Psychplus Medical Associates PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558118026 PECOS PAC ID: 2668813460 Enrollment ID: O20250203001096 |
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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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