Katie Moore Llc is a medicare enrolled "Dietitian, Registered" provider in Ripley, West Virginia. Their current practice location is
370a Main St W, Ripley, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 531-2829.
Katie Moore Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Katie Moore Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003533563.
Healthcare Provider's Profile
| Full Name | Katie Moore Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 370a Main St W, Ripley, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003533563
- Provider Enumeration Date: 10/25/2022
- Last Update Date: 11/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517482532
- Enrollment ID: O20250422002464
Medical Identifiers
Medical identifiers for Katie Moore Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003533563 | NPI | - | NPPES |
| DN006109 | Other | PA | LDN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Katie Moore Llc acts as a billing entity for following providers:
| Provider Name | Katie Moore |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1700501392 PECOS PAC ID: 8426573445 Enrollment ID: I20250422002637 |
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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. Katie Moore Llc 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 |
Katie Moore Llc 346 3rd Ave, Ripley, WV 25271-1530 Ph: (304) 531-2829 | Katie Moore Llc 370a Main St W, Ripley, WV 25271-1427 Ph: (304) 531-2829 |
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