MRS. LACIE STAFFORD MOORE PA-C
NPI 1760767610
Physician Assistant in Lafayette, LA
About Mrs. Lacie Stafford Moore Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LACIE STAFFORD MOORE PA-C (NPI 1760767610) is an individual physician assistant in Lafayette, Louisiana, licensed in Louisiana (PA.200503) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bossier City, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Lacie Stafford Moore Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lacie Moore's NPI number?
The NPI number for Lacie Moore is 1760767610. It was assigned to this individual provider in the NPPES registry on October 11, 2011.
Where is Lacie Moore located?
Lacie Moore practices at 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508. The listed phone number is (337) 521-9127.
What is Lacie Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Lacie Moore enrolled in Medicare?
Yes. Lacie Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Lacie Moore accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Lacie Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lacie Moore was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Lacie Stafford Moore, PA-C · NPI 1760767610
Physician Assistant physician in Lafayette, Louisiana. Individual provider, active in the CMS NPPES registry since October 11, 2011.
## Identity
- **NPI:** 1760767610 (Entity type: Individual)
- **Enumerated:** October 11, 2011
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA.200503 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4600 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508-6902
- **Phone:** (337) 521-9127
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Other PA.200503 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1760767610) · Data from the CMS NPPES public registry.