Monique Samantha Moore, in Yulee, FL - Medicare Counselor Provider

Monique Samantha Moore, is a medicare enrolled "Counselor - Mental Health" provider in Yulee, Florida. Her current practice location is Po Box 655, Yulee, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 468-7731.

Monique Samantha Moore is licensed to practice in Florida (license number MH22706) 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 1063198018.

Contact Information

	Monique Samantha Moore,
	Po Box 655, Yulee, FL 32041-0655
	(904) 468-7731
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Monique Samantha Moore
Gender	Female
Speciality	Counselor - Mental Health
Location	Po Box 655, Yulee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063198018
Provider Enumeration Date: 06/26/2023
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2062860919
Enrollment ID: I20231203000062

Medical Identifiers

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

Identifier	Type	State	Issuer
1063198018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH22706 (Florida)	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. Monique Samantha Moore allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Monique Samantha 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
Monique Samantha Moore, Po Box 655, Yulee, FL 32041-0655 Ph: (904) 468-7731	Monique Samantha Moore, Po Box 655, Yulee, FL 32041-0655 Ph: (904) 468-7731

Reviews and Comments

Counselor in Yulee, FL

Rosa Elena Haslip, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8832
Mrs. Sarah A Smith, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8232
Gina Ferens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280
Joyce Clarice Crews, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 Sr 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8232
Ms. Kyle K Bishop, LCPC, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 389 Muhly Grass St, Yulee, FL 32097 Phone: 301-481-9823
Anne Louise Schrauth, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280

Monique Samantha Moore, - Medicare Counselor in Yulee, FL