Samantha Elaine Moore, RD, CD, CDCES - Medicare Dietitian in Marshfield, WI

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Samantha Elaine Moore, RD, CD, CDCES is a medicare enrolled "Dietitian, Registered" provider in Marshfield, Wisconsin. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Mchs Hospitals Inc and her current practice location is 1000 N Oak Ave, Marshfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 389-7464.

Samantha Elaine Moore is licensed to practice in Wisconsin (license number 1059416) 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 1003191297.

Contact Information

Samantha Elaine Moore, RD, CD, CDCES
1000 N Oak Ave,
Marshfield, WI 54449-5703
(715) 389-7464
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamantha Elaine Moore
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience16 Years
Location1000 N Oak Ave, Marshfield, 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:
  • Samantha Elaine Moore graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1003191297
  • Provider Enumeration Date: 10/19/2011
  • Last Update Date: 11/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719150614
  • Enrollment ID: I20111108000784

Medical Identifiers

Medical identifiers for Samantha Elaine Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003191297NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1059416 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marshfield Medical CenterMarshfield, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mchs Hospitals Inc56980711731045

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. Samantha Elaine Moore allows following entities to bill medicare on her behalf.
Provider NameMarshfield Clinic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Provider NameBeaver Dam Community Hospitals Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666
Provider NameMemorial Hospital Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Provider NameMchs Hospitals Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Provider NameLakeview Medical Center Inc Of Rice Lake
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484
Provider NameFlambeau Hospital, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

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. Samantha Elaine 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 AddressPractice Location Address
Samantha Elaine Moore, RD, CD, CDCES
1000 N Oak Ave,
Marshfield, WI 54449-5703

Ph: (715) 389-7464		Samantha Elaine Moore, RD, CD, CDCES
1000 N Oak Ave,
Marshfield, WI 54449-5703

Ph: (715) 389-7464

Reviews and Comments


Dietitian, Registered in Marshfield, WI

Tammi L. Timmler, RD CDE
Dietitian
Medicare: Medicare Enrolled
Practice Location: 1000 N Oak Ave, Marshfield, WI 54449
Phone: 715-387-5511    
Mrs. Kristene Whitlock Schulte, RD, CD, CDE
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 611 Saint Joseph Ave, Diabetes Center Of Marshfield, Marshfield, WI 54449
Phone: 715-387-7352    Fax: 715-387-7251
Johnilee Slark, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Oak Ave, Marshfield, WI 54449
Phone: 715-387-5480    
Heather J Endries, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 611 N Saint Joseph Ave, Marshfield, WI 54449
Phone: 715-387-9587    
Kylie Rae Desmet, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Oak Ave, Marshfield, WI 54449
Phone: 715-387-7176    
Jennifer Okon, R.D., C.D.E., C.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: St. Joseph's Hospital Diabetes Center, 611 Saint Joseph Ave., Marshfield, WI 54449
Phone: 715-387-7255    Fax: 715-378-7251

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.