Lashanda Denise Moore, NP in Stone Mountain, GA

Lashanda Denise Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Stone Mountain, Georgia. Her current practice location is 5582 Memorial Dr, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 298-8998.

Lashanda Denise Moore is licensed to practice in Georgia (license number RN249446) 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 1205306891.

Contact Information

	Lashanda Denise Moore, NP
	5582 Memorial Dr, Stone Mountain, GA 30083-3215
	(404) 298-8998
	Not Available

Map and Direction

Provider's Profile

Full Name	Lashanda Denise Moore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5582 Memorial Dr, Stone Mountain, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205306891
Provider Enumeration Date: 11/27/2018
Last Update Date: 01/26/2021

Medicare PECOS Information:

PECOS PAC ID: 8325479140
Enrollment ID: I20200512001111

Medical Identifiers

Medical identifiers for Lashanda Denise Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205306891	NPI	-	NPPES
1205306891	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN249446 (Georgia)	Primary
363L00000X	Nurse Practitioner	RN249446 (Georgia)	Secondary

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. Lashanda Denise Moore allows following entities to bill medicare on her behalf.

Entity Name	Medcura Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417011487 PECOS PAC ID: 2961443643 Enrollment ID: O20120509000245

Entity Name	Mc Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622

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. Lashanda Denise 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
Lashanda Denise Moore, NP 5582 Memorial Dr, Stone Mountain, GA 30083-3215 Ph: (404) 298-8998	Lashanda Denise Moore, NP 5582 Memorial Dr, Stone Mountain, GA 30083-3215 Ph: (404) 298-8998

Reviews and Comments

Nurse Practitioner Nurses in Stone Mountain, GA

Mrs. Sherly John, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-809-2408
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499
Roneshia Michelle Rudolph-meadows, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 Fax: 770-322-6191
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998
Pauline Kpannah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083 Phone: 678-396-0843
Mr. Justin Stewart Kitchens, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753
Mrs. Timanika A Dansby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087 Phone: 470-444-3134 Fax: 470-276-4370

Lashanda Denise Moore, NP - Medicare Nurse Practitioner in Stone Mountain, GA