Shenitta Moore, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Greenwood, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Metropolitan Human Services District and her current practice location is
1401 River Rd, Rm 534, Greenwood, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 455-8165.
Shenitta Moore is licensed to practice in Mississippi (license number 24524) 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 1952676116.
Physician's Profile
| Full Name | Shenitta Moore |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 14 Years |
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| Location | 1401 River Rd, Greenwood, Mississippi |
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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:
- Shenitta Moore attended and graduated from University Of Mississippi School Of Medicine in 2012
NPI Data:
- NPI Number: 1952676116
- Provider Enumeration Date: 03/20/2012
- Last Update Date: 04/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 2860789757
- Enrollment ID: I20200117001607
Medical Identifiers
Medical identifiers for Shenitta Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952676116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 24524 (Mississippi) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD.207220 (Louisiana) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Metropolitan Human Services District | 6901966407 | 11 |
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. Shenitta Moore allows following entities to bill medicare on her behalf.
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477582526
PECOS PAC ID: 0244136448
Enrollment ID: O20031209000661 |
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| Entity Name | South Central La Human Services Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104250265
PECOS PAC ID: 7810129871
Enrollment ID: O20140407001422 |
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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. Shenitta 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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Shenitta Moore,
1401 River Rd, Rm 534,
Greenwood, MS 38930-4030
Ph: () - | Shenitta Moore,
1401 River Rd, Rm 534,
Greenwood, MS 38930-4030
Ph: (662) 455-8165 |
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