Sheronda Chantell Moore, MSOT, OTR/L is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
7136 Gettysburg Pike, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 745-3322.
Sheronda Chantell Moore is licensed to practice in Indiana (license number 88001256A) 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 1730544842.
Healthcare Provider's Profile
| Full Name | Sheronda Chantell Moore |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 6 Years |
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| Location | 7136 Gettysburg Pike, Fort Wayne, Indiana |
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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:
- Sheronda Chantell Moore graduated from medical school in 2020
NPI Data:
- NPI Number: 1730544842
- Provider Enumeration Date: 12/17/2015
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355644121
- Enrollment ID: I20251201001643
Medical Identifiers
Medical identifiers for Sheronda Chantell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730544842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 9065 (North Carolina) | Secondary |
| 225X00000X | Occupational Therapist | 3992 (South Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 88001256A (Indiana) | Primary |
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. Sheronda Chantell 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 |
Sheronda Chantell Moore, MSOT, OTR/L 8040 Upland Ct, Indianapolis, IN 46278-9585 Ph: (803) 837-2652 | Sheronda Chantell Moore, MSOT, OTR/L 7136 Gettysburg Pike, Fort Wayne, IN 46804-5680 Ph: (260) 745-3322 |
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