Tomeko Moore, is a medicare enrolled "Social Worker - Clinical" provider in Greensboro, North Carolina. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Envisions Of Life Llc and her current practice location is
5 Centerview Dr, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 887-0708.
Tomeko Moore is licensed to practice in North Carolina (license number P009579) 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 1336529957.
Healthcare Provider's Profile
| Full Name | Tomeko Moore |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 5 Centerview Dr, Greensboro, 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. |
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Medical Education and Training:
- Tomeko Moore graduated from medical school in 2015
NPI Data:
- NPI Number: 1336529957
- Provider Enumeration Date: 06/09/2015
- Last Update Date: 06/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 3072640721
- Enrollment ID: I20150908002372
Medical Identifiers
Medical identifiers for Tomeko Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336529957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-21233 (North Carolina) | Secondary |
| 104100000X | Social Worker | P009579 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P009579 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Envisions Of Life Llc | 0749317493 | 2 |
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. Tomeko Moore allows following entities to bill medicare on her behalf.
| Entity Name | Envisions Of Life Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881788818
PECOS PAC ID: 0749317493
Enrollment ID: O20100428000794 |
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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. Tomeko 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 |
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Tomeko Moore,
4912 Legacy Dr,
Colfax, NC 27235-9436
Ph: (336) 285-7449 | Tomeko Moore,
5 Centerview Dr,
Greensboro, NC 27407-3724
Ph: (336) 887-0708 |
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