Dr Ida Moadab, PHD in Eugene, OR - Medicare Clinical Psychologist Provider

Dr Ida Moadab, PHD is a medicare enrolled "Psychologist - Clinical" provider in Eugene, Oregon. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Eugene Center For Anxiety And Stress, Llc and her current practice location is 101 E Broadway Ste 400, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 357-9764.

Dr Ida Moadab is licensed to practice in Oregon (license number 2510) 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 1205147675.

Contact Information

	Dr Ida Moadab, PHD
	101 E Broadway Ste 400, Eugene, OR 97401-3104
	(541) 357-9764
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ida Moadab
Gender	Female
Speciality	Clinical Psychologist
Experience	11 Years
Location	101 E Broadway Ste 400, Eugene, Oregon
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:

Dr Ida Moadab graduated from medical school in 2013

NPI Data:

NPI Number: 1205147675
Provider Enumeration Date: 06/30/2010
Last Update Date: 06/10/2019

Medicare PECOS Information:

PECOS PAC ID: 4082940192
Enrollment ID: I20190727000175

Medical Identifiers

Medical identifiers for Dr Ida Moadab such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205147675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2510 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eugene Center For Anxiety And Stress, Llc	3173859287	9

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. Dr Ida Moadab allows following entities to bill medicare on her behalf.

Entity Name	Eugene Center For Anxiety And Stress, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376015610 PECOS PAC ID: 3173859287 Enrollment ID: O20190727000162

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. Dr Ida Moadab 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
Dr Ida Moadab, PHD 291 W 12th Ave, Eugene, OR 97401-3409 Ph: (541) 357-9764	Dr Ida Moadab, PHD 101 E Broadway Ste 400, Eugene, OR 97401-3104 Ph: (541) 357-9764

Reviews and Comments

Psychologist in Eugene, OR

Philip Andrew Fisher, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Pearl St, Eugene, OR 97401 Phone: 541-743-4340 Fax: 541-743-4369
Thomas F Keefe, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 420, Eugene, OR 97401 Phone: 541-744-0828 Fax: 541-687-6214
Dr. Kris S Hallenburg, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 66 Club Rd, Ste 120, Eugene, OR 97401 Phone: 541-393-5983 Fax: 541-393-5984
Erik D Sorensen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 511 E 12th Ave, Eugene, OR 97401 Phone: 541-345-8749 Fax: 541-344-7595
Elizabeth Ryann Watson-stites, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 901 East 18th Ave, Eugene, OR 97403 Phone: 541-346-3575
Mrs. Jenelle M'lou Braun Stone, MA, MS, MS, PH.D. - Psychologist Medicare: Medicare Enrolled Practice Location: 132 E Broadway, Ste 332, Eugene, OR 97401 Phone: 541-915-1600 Fax: 541-359-4433
Mr. Jack Blanton Wills, M.S., P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1414 Kincaid St, Eugene, OR 97401 Phone: 541-505-2080

Dr Ida Moadab, PHD - Medicare Psychologist in Eugene, OR