Mrs Pamela J Moore, CPNP - Medicare Nurse Practitioner in Varnville, SC

Mrs Pamela J Moore, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Varnville, South Carolina. Her current practice location is 1000 Pine Street, Varnville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 943-5228.

Mrs Pamela J Moore is licensed to practice in South Carolina (license number 1881) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306846142.

Contact Information

Mrs Pamela J Moore, CPNP
1000 Pine Street,
Varnville, SC 29944-0969
(803) 943-5228
(803) 943-4591



Provider's Profile

Full NameMrs Pamela J Moore
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1000 Pine Street, Varnville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306846142
  • Provider Enumeration Date: 07/22/2005
  • Last Update Date: 06/24/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9638444219
  • Enrollment ID: I20171006002576

Medical Identifiers

Medical identifiers for Mrs Pamela J Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306846142NPI-NPPES
GP0365MedicaidSC
RHC013MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 1881 (South Carolina)Primary

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. Mrs Pamela J Moore allows following entities to bill medicare on her behalf.
Entity NameBeaufort County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457922007
PECOS PAC ID: 7810809365
Enrollment ID: O20050208000354

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Entity NameBeaufort County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598713117
PECOS PAC ID: 7810809365
Enrollment ID: O20050518001061

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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. Mrs Pamela J 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
Mrs Pamela J Moore, CPNP
1000 Pine St,
Varnville, SC 29944-0969

Ph: (803) 943-5228
Mrs Pamela J Moore, CPNP
1000 Pine Street,
Varnville, SC 29944-0969

Ph: (803) 943-5228

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Nurse Practitioner Nurses in Varnville, SC

Mrs. Victoria R Reynolds, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Pine Street, Varnville, SC 29944
Phone: 803-943-5228    Fax: 803-943-4591
Jenna Gossett,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 595 W Carolina Ave, Varnville, SC 29944
Phone: 843-991-9892    
Brenda L Poalillo, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 595 W Carolina Ave, Varnville, SC 29944
Phone: 803-943-1217    Fax: 803-943-1208
Mrs. Sharon Lynn W Shealy, CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Pine Street, Varnville, SC 29944
Phone: 803-943-5228    Fax: 803-943-4591
Melanie Widener Brant, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 595 W Carolina Ave, Varnville, SC 29944
Phone: 803-943-2771    
Felicia Jonelle Ferguson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 595 W Carolina Ave, Varnville, SC 29944
Phone: 803-943-2771    

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