Tasha M Moore, APRN - Medicare Nurse Practitioner in Timmonsville, SC

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Tasha M Moore, APRN is a medicare enrolled "Nurse Practitioner" in Timmonsville, South Carolina. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Colonial Family Practice Llc and her current practice location is 210 E Market St, Timmonsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 346-3730.

Tasha M Moore is licensed to practice in South Carolina (license number 21515) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114417789.

Contact Information

Tasha M Moore, APRN
210 E Market St,
Timmonsville, SC 29161-1812
(843) 346-3730
Not Available

Map and Direction




Provider's Profile

Full NameTasha M Moore
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location210 E Market St, Timmonsville, South Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tasha M Moore graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1114417789
  • Provider Enumeration Date: 05/18/2018
  • Last Update Date: 08/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3971844424
  • Enrollment ID: I20190409003656

Medical Identifiers

Medical identifiers for Tasha M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114417789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 21515 (South Carolina)Primary
363LA2100XNurse Practitioner - Acute Care 21515 (South Carolina)Secondary
363LA2200XNurse Practitioner - Adult Health 21515 (South Carolina)Secondary
363LG0600XNurse Practitioner - Gerontology 21515 (South Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Health ClarendonManning, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Colonial Family Practice Llc993101711858

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. Tasha M Moore allows following entities to bill medicare on her behalf.
Entity NameColonial Family Practice LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518074640
PECOS PAC ID: 9931017118
Enrollment ID: O20040727000107
Entity NameSC House Calls Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518048859
PECOS PAC ID: 6800994807
Enrollment ID: O20070613000821

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. Tasha M 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 AddressPractice Location Address
Tasha M Moore, APRN
210 E Market St,
Timmonsville, SC 29161-1812

Ph: (843) 346-3730		Tasha M Moore, APRN
210 E Market St,
Timmonsville, SC 29161-1812

Ph: (843) 346-3730

Reviews and Comments


Nurse Practitioner Nurses in Timmonsville, SC

Sarah Nicole Jewell-ward, DNP, APRN,PMHNP, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 909 Blazing Trl, Timmonsville, SC 29161
Phone: 843-250-6906    
Brandi Powell Russ, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 755 E Smith St, Timmonsville, SC 29161
Phone: 843-346-3900    Fax: 843-346-7839
Jaymas Renee Williams, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 210 E Market St, Timmonsville, SC 29161
Phone: 843-346-3730    Fax: 843-346-7687
Danielle Ann Altman, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 755 E Smith St, Timmonsville, SC 29161
Phone: 843-346-3900    Fax: 843-346-7839
Allison Slice, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 755 E Smith St, Timmonsville, SC 29161
Phone: 843-346-3900    Fax: 843-346-7839
Laura Lee Samuel,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 E Market St, Timmonsville, SC 29161
Phone: 843-346-3730    Fax: 843-346-7689

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.