Shannon Summers Moore, MS, RD is a medicare enrolled "Dietitian, Registered" provider in Ferrum, Virginia. Her current practice location is
180 Ferrum Mountain Rd, Ferrum, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 365-4469.
Shannon Summers Moore is licensed to practice in North Carolina (license number L004590) 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 1164807913.
Healthcare Provider's Profile
Full Name | Shannon Summers Moore |
---|
Gender | Female |
---|
Speciality | Dietitian, Registered |
---|
Location | 180 Ferrum Mountain Rd, Ferrum, Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164807913
- Provider Enumeration Date: 07/22/2015
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729387337
- Enrollment ID: I20211210000262
Medical Identifiers
Medical identifiers for Shannon Summers Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164807913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | L004590 (North Carolina) | Primary |
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. Shannon Summers 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 |
Shannon Summers Moore, MS, RD 993 Vista Ln, Hiawassee, GA 30546-3980 Ph: (804) 543-9344 | Shannon Summers Moore, MS, RD 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 Ph: (540) 365-4469 |
Reviews and Comments