Dana Harrison Moore, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Warrenton, North Carolina. Her current practice location is
108 S Bragg St, Warrenton, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 655-3105.
Dana Harrison Moore is licensed to practice in North Carolina (license number 5017850) 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 1194183384.
Provider's Profile
| Full Name | Dana Harrison Moore |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 108 S Bragg St, Warrenton, North Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1194183384
- Provider Enumeration Date: 02/03/2016
- Last Update Date: 10/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911341060
- Enrollment ID: I20240216003490
Medical Identifiers
Medical identifiers for Dana Harrison Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194183384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0001225093 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024185922 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5017850 (North Carolina) | 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. Dana Harrison Moore allows following entities to bill medicare on her behalf.
| Entity Name | Central Virginia Health Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134258601
PECOS PAC ID: 0345158432
Enrollment ID: O20031119000823 |
|---|
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. Dana Harrison 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 |
|---|
Dana Harrison Moore, PMHNP
8380 Boydton Plank Rd,
Alberta, VA 23821-2851
Ph: (434) 949-7211 | Dana Harrison Moore, PMHNP
108 S Bragg St,
Warrenton, NC 27589-2048
Ph: (828) 655-3105 |
Reviews and Comments