Penelope Moore, PA-C is a medicare enrolled "Hospitalist" in Lynchburg, Virginia. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Centra Medical Group Llc and her current practice location is
Po Box 11646, Lynchburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 200-5203.
Penelope Moore is licensed to practice in Virginia (license number 0110011305) 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 1013805738.
Provider's Profile
| Full Name | Penelope Moore |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | Po Box 11646, Lynchburg, 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:
- Penelope Moore graduated from nursing school in 2025
NPI Data:
- NPI Number: 1013805738
- Provider Enumeration Date: 06/24/2025
- Last Update Date: 10/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567952690
- Enrollment ID: I20251106005041
Medical Identifiers
Medical identifiers for Penelope Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013805738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | 0110011305 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centra Medical Group Llc | 4789606088 | 713 |
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. Penelope 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 |
|---|
Penelope Moore, PA-C
Po Box 11646,
Lynchburg, VA 24506-1646
Ph: (434) 200-5203 | Penelope Moore, PA-C
Po Box 11646,
Lynchburg, VA 24506-1646
Ph: (434) 200-5203 |
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