Katie Moore, RDN is a medicare enrolled "Dietitian, Registered" provider in Ripley, West Virginia. Her current practice location is
346 3rd Ave, Ripley, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 531-2829.
Katie Moore is licensed to practice in Pennsylvania (license number DN006109) 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 1700501392.
Healthcare Provider's Profile
| Full Name | Katie Moore |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 346 3rd Ave, Ripley, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700501392
- Provider Enumeration Date: 10/06/2022
- Last Update Date: 11/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426573445
- Enrollment ID: I20250422002637
Medical Identifiers
Medical identifiers for Katie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700501392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DN006109 (Pennsylvania) | 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. Katie Moore allows following entities to bill medicare on her behalf.
| Provider Name | Katie Moore Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003533563
PECOS PAC ID: 7517482532
Enrollment ID: O20250422002464 |
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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 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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Katie Moore, RDN
370a Main St W,
Ripley, WV 25271-1427
Ph: (304) 531-2829 | Katie Moore, RDN
346 3rd Ave,
Ripley, WV 25271-1530
Ph: (304) 531-2829 |
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