Victoria Moore, is a medicare enrolled "Physician Assistant" in Locust, North Carolina. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mainstreet And Kidsstreet Of North Carolina Pllc and her current practice location is
130 James Ave, Locust, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 271-3777.
Victoria Moore is licensed to practice in North Carolina (license number 0010-15251) 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 1134978661.
Provider's Profile
| Full Name | Victoria Moore |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 130 James Ave, Locust, North Carolina |
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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. |
Medical Education and Training:
- Victoria Moore graduated from nursing school in 2024
NPI Data:
- NPI Number: 1134978661
- Provider Enumeration Date: 05/16/2024
- Last Update Date: 03/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991229494
- Enrollment ID: I20250407000639
Medical Identifiers
Medical identifiers for Victoria Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134978661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0010-15251 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mainstreet And Kidsstreet Of North Carolina Pllc | 6901290238 | 50 |
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. Victoria 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 |
Victoria Moore, 120 Gerding Dr, Wingate, NC 28174-9601 Ph: (336) 467-3337 | Victoria Moore, 130 James Ave, Locust, NC 28097-4506 Ph: (704) 271-3777 |
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