Cecilia Ann Moore, RD, LD in Lubbock, TX - Medicare Dietitian, Registered Provider

Cecilia Ann Moore, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Lubbock, Texas. Her current practice location is 3601 4th St, Stop 9903, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 743-7337.

Cecilia Ann Moore is licensed to practice in Texas (license number DT80334) 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 1528263514.

Contact Information

	Cecilia Ann Moore, RD, LD
	3601 4th St, Stop 9903, Lubbock, TX 79430-9903
	(806) 743-7337
	(806) 743-7329

Map and Direction

Healthcare Provider's Profile

Full Name	Cecilia Ann Moore
Gender	Female
Speciality	Dietitian, Registered
Location	3601 4th St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528263514
Provider Enumeration Date: 06/19/2007
Last Update Date: 01/30/2025

Medicare PECOS Information:

PECOS PAC ID: 4880771450
Enrollment ID: I20080407000342

Medical Identifiers

Medical identifiers for Cecilia Ann Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528263514	NPI	-	NPPES
13785036	Medicaid	NM
8H8762	Other	TX	BC/BS
193439001	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	DT80334 (Texas)	Secondary
133V00000X	Dietitian, Registered	DT80334 (Texas)	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. Cecilia Ann Moore allows following entities to bill medicare on her behalf.

Provider Name	Texas Tech University Health Sciences Center Lubbock
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468

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. Cecilia Ann 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
Cecilia Ann Moore, RD, LD Po Box 5865, Lubbock, TX 79408-5865 Ph: (806) 743-2898	Cecilia Ann Moore, RD, LD 3601 4th St, Stop 9903, Lubbock, TX 79430-9903 Ph: (806) 743-7337

Reviews and Comments

Dietitian, Registered in Lubbock, TX

Mrs. Emmy Lu Henley, PHD, RDN, LD, CEDRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6520 University Ave, Suite 5, Lubbock, TX 79413 Phone: 806-370-3755
Keyra Hernandez, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2431 S Loop 289, Lubbock, TX 79423 Phone: 806-771-8008
Jessica Reyes, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6006 Norfolk Ave, Lubbock, TX 79413 Phone: 806-401-3023
Miss Jamie Leigh Hocker, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3615 19th St, The Lifestyle Centre, Lubbock, TX 79410 Phone: 806-725-4386 Fax: 806-725-4384
Mrs. Yanci Ann Kligora, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4010 22nd St, Lubbock, TX 79410 Phone: 806-767-1705
Whitney Preston, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400
Mindy Diller, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2431 S Loop 289, Lubbock, TX 79423 Phone: 806-771-7661

Cecilia Ann Moore, RD, LD - Medicare Dietitian in Lubbock, TX