Ms Brandi N Moore, PA is a medicare enrolled "Physician Assistant" physician in Max Meadows, Virginia. She graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Alliance Xpress Care Llc, Wythe County Physician Practices Llc and her current practice location is
245 Fort Chiswell Rd Ste D, Max Meadows, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 613-6991.
Ms Brandi N Moore is licensed to practice in Virginia (license number 0110-002204) 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 1528041381.
Physician's Profile
| Full Name | Ms Brandi N Moore |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 245 Fort Chiswell Rd Ste D, Max Meadows, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Brandi N Moore graduated from medical school in 2005
NPI Data:
- NPI Number: 1528041381
- Provider Enumeration Date: 11/25/2005
- Last Update Date: 01/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012921018
- Enrollment ID: I20060130000253
Medical Identifiers
Medical identifiers for Ms Brandi N Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528041381 | NPI | - | NPPES |
| 10220815 | Medicaid | VA | |
| 010220793 | Medicaid | VA | |
| 010220807 | Medicaid | VA | |
| 1068476 | Other | VA | NCCPA CERTIFICATE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0110-002204 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110-002204 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Alliance Xpress Care Llc | 5496063091 | 12 |
| Wythe County Physician Practices Llc | 7517972789 | 34 |
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. Ms Brandi N 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 |
|---|
Ms Brandi N Moore, PA
1123 Powder Mill Rd,
Ivanhoe, VA 24350-3559
Ph: (276) 699-0105 | Ms Brandi N Moore, PA
245 Fort Chiswell Rd Ste D,
Max Meadows, VA 24360-3987
Ph: (276) 613-6991 |
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