Andrea Moore, is a medicare enrolled "Social Worker - Clinical" provider in Calumet Park, Illinois. She graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Midwest Post Acute Care Pllc and her current practice location is
12446 S Loomis St, Calumet Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 641-7095.
Andrea Moore is licensed to practice in Illinois (license number 149.016158) 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 1578010435.
Healthcare Provider's Profile
| Full Name | Andrea Moore |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 24 Years |
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| Location | 12446 S Loomis St, Calumet Park, Illinois |
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| 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:
- Andrea Moore graduated from medical school in 2002
NPI Data:
- NPI Number: 1578010435
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 09/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 1052778602
- Enrollment ID: I20230613001873
Medical Identifiers
Medical identifiers for Andrea Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578010435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 149.016158 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Midwest Post Acute Care Pllc | 0143547117 | 63 |
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. Andrea Moore allows following entities to bill medicare on her behalf.
| Entity Name | Midwest Post Acute Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
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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. Andrea 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 Address | Practice Location Address |
Andrea Moore, Po Box 53529, Chicago, IL 60653-0529 Ph: (773) 641-7095 | Andrea Moore, 12446 S Loomis St, Calumet Park, IL 60827-5832 Ph: (773) 641-7095 |
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