Myra Marie Moore, - Psychologist in Summersville, WV

Myra Marie Moore, is a Psychologist based in Summersville, West Virginia. Myra Marie Moore is licensed to practice in West Virginia (license number 22070) and her current practice location is 402 Church St Ste 2, Summersville, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 256-4555.

NPI number for Myra Marie Moore is 1154673184 and her current mailing address is Po Box 211, Mount Nebo, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154673184.

Contact Information

Myra Marie Moore,
402 Church St Ste 2,
Summersville, WV 26651-1495
(304) 256-4555
(304) 256-4715

Map and Direction




Healthcare Provider's Profile

Full NameMyra Marie Moore
GenderFemale
SpecialityPsychologist
Location402 Church St Ste 2, Summersville, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154673184
  • Provider Enumeration Date: 10/15/2012
  • Last Update Date: 08/15/2023

Medical Identifiers

Medical identifiers for Myra Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154673184NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 22070 (West Virginia)Secondary
103T00000XPsychologist 22070 (West Virginia)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. Myra Marie Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Myra Marie Moore,
Po Box 211,
Mount Nebo, WV 26679-0211

Ph: (304) 719-9701
Myra Marie Moore,
402 Church St Ste 2,
Summersville, WV 26651-1495

Ph: (304) 256-4555

Reviews and Comments


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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.

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