PRESKA M. MOORE M.D.
NPI 1790855484
Psychiatry & Neurology - Child & Adolescent Psychiatry in Crozet, VA
- Individual
- Female
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Opted-Out Medicare
About PRESKA MOORE
This page provides the complete NPI Profile along with additional information for Preska Moore, a provider established in Crozet, Virginia with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1790855484 assigned on November 2006. The practitioner's primary taxonomy code is 2084P0804X with license number 0101237324 (VA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1790855484 Verify this NPI
- Provider Name
- PRESKA M. MOORE M.D.
- Other Name
- MELISA MOORE MD
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 CLAREMONT LN STE 103 CROZET, VA 22932
- Location Phone
- (434) 466-1588
- Location Fax
- (866) 289-5249
- Mailing Address
- PO BOX 9007 CHARLOTTESVILLE, VA 22906
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-09-2006
- Last Update Date
- 01-10-2023
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Preska Moore opted out of Medicare effective on 01-01-2025 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 310 Old Ivy Way Suite 104
Charlottesville, VA 22903
(434) 243-6950
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101237324
- License State
- VA
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2025
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
CROZET, VA 22932
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790855484, enumerated as an "individual" on November 09, 2006.
The provider is located at 300 CLAREMONT LN STE 103 CROZET, VA 22932 and the phone number is (434) 466-1588.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
