Holly B Moran, RD - Medicare Dietitian in Oak Creek, WI

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Holly B Moran, RD is a medicare enrolled "Dietitian, Registered" provider in Oak Creek, Wisconsin. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Lakeshore Medical Clinic Llc and her current practice location is 200 E Ryan Rd, Oak Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 870-3590.

Holly B Moran is licensed to practice in Wisconsin (license number 5325) 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 1811779390.

Contact Information

Holly B Moran, RD
200 E Ryan Rd,
Oak Creek, WI 53154-4563
(414) 870-3590
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameHolly B Moran
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience12 Years
Location200 E Ryan Rd, Oak Creek, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly B Moran graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1811779390
  • Provider Enumeration Date: 10/18/2023
  • Last Update Date: 07/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830532852
  • Enrollment ID: I20240207000677

Medical Identifiers

Medical identifiers for Holly B Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811779390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 5325 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeshore Medical Clinic Llc7719890730375

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. Holly B Moran allows following entities to bill medicare on her behalf.
Provider NameAurora Medical Group, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Provider NameLakeshore Medical Clinic LLC
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Provider NameAurora Advanced Healthcare, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Holly B Moran 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 AddressPractice Location Address
Holly B Moran, RD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (414) 744-6589		Holly B Moran, RD
200 E Ryan Rd,
Oak Creek, WI 53154-4563

Ph: (414) 870-3590

Reviews and Comments


Dietitian, Registered in Oak Creek, WI

Lauren Couves, MS, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 403 W Lagoon Ln Apt 1805, Oak Creek, WI 53154
Phone: 641-204-9032    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.