Mrs Stephanie Cherie Moore, RD, CD in Portland, OR - Medicare Dietitian, Registered Provider

Mrs Stephanie Cherie Moore, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Portland, Oregon. Her current practice location is 9701 Sw Barnes Rd Ste 300, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 297-8081.

Mrs Stephanie Cherie Moore is licensed to practice in Oregon (license number LD-D-10195500) 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 1467903997.

Contact Information

	Mrs Stephanie Cherie Moore, RD, CD
	9701 Sw Barnes Rd Ste 300, Portland, OR 97225-6689
	(503) 297-8081
	(503) 292-6601

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stephanie Cherie Moore
Gender	Female
Speciality	Dietitian, Registered
Location	9701 Sw Barnes Rd Ste 300, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467903997
Provider Enumeration Date: 10/19/2016
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5597027177
Enrollment ID: I20190618000002

Medical Identifiers

Medical identifiers for Mrs Stephanie Cherie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467903997	NPI	-	NPPES
500759809	Medicaid	OR
QMP000004581655	Other	WA	MOLINA
2121927	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI60691376 (Washington)	Secondary
133V00000X	Dietitian, Registered	LD-D-10195500 (Oregon)	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. Mrs Stephanie Cherie Moore allows following entities to bill medicare on her behalf.

Provider Name	The Oregon Clinic, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

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. Mrs Stephanie Cherie 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
Mrs Stephanie Cherie Moore, RD, CD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Mrs Stephanie Cherie Moore, RD, CD 9701 Sw Barnes Rd Ste 300, Portland, OR 97225-6689 Ph: (503) 297-8081

Reviews and Comments

Dietitian, Registered in Portland, OR

Mrs. April D Mitsch, RD Dietitian Medicare: Medicare Enrolled Practice Location: 700 Sw Campus Dr, Portland, OR 97239 Phone: 503-494-8362 Fax: 503-494-4447
Julie Marie Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-5466
Alavita Perinatal Nutrition Associates, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 106 Sw Woods St Ste A, Portland, OR 97201 Phone: 503-407-2549
Jennifer Ching, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 9701 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-297-8108 Fax: 503-292-6601
Mary Ann Weinberg, RD, CNSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7597
Ms. Janet Lee Muckridge, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Nutrition Department East Interstate, Portland, OR 97227 Phone: 503-286-6871
Mrs. Christina Marie Johnson, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, V3-hbpc Nutrition Services, Portland, OR 97239 Phone: 503-220-8262

Mrs Stephanie Cherie Moore, RD, CD - Medicare Dietitian in Portland, OR