Benjamin Virlow Moore, CSW in Price, UT - Medicare Social Worker Provider

Benjamin Virlow Moore, CSW is a medicare enrolled "Social Worker - Clinical" provider in Price, Utah. His current practice location is 575 East 100 South, Price, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 637-2358.

Benjamin Virlow Moore is licensed to practice in Utah (license number 6396608-3502) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710208848.

Contact Information

	Benjamin Virlow Moore, CSW
	575 East 100 South, Price, UT 84501
	(435) 637-2358
	(435) 637-9141

Map and Direction

Healthcare Provider's Profile

Full Name	Benjamin Virlow Moore
Gender	Male
Speciality	Social Worker - Clinical
Location	575 East 100 South, Price, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710208848
Provider Enumeration Date: 06/11/2010
Last Update Date: 06/11/2010

Medicare PECOS Information:

PECOS PAC ID: 8921241324
Enrollment ID: I20240513002602

Medical Identifiers

Medical identifiers for Benjamin Virlow Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710208848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6396608-3502 (Utah)	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. Benjamin Virlow Moore allows following entities to bill medicare on his behalf.

Entity Name	Bear River Mental Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285736553 PECOS PAC ID: 0840102356 Enrollment ID: O20031103000725

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. Benjamin Virlow 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
Benjamin Virlow Moore, CSW Po Box 867, 105 West 100 North, Price, UT 84501 Ph: (435) 637-7200	Benjamin Virlow Moore, CSW 575 East 100 South, Price, UT 84501 Ph: (435) 637-2358

Reviews and Comments

Social Worker in Price, UT

Ann L Prazza, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 575 E 100 So, Price, UT 84501 Phone: 435-637-2358 Fax: 435-637-9141
Wayne Lee Tucker, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 W Main St, Price, UT 84501 Phone: 435-637-0171
Anne Stacy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 575 East 100 South, Price, UT 84501 Phone: 435-637-2358 Fax: 435-637-9141
Rachel Ellen Allred, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 N 100 W Ste 5, Price, UT 84501 Phone: 435-749-1530
Tamara Dawn Pantelakis, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 S Carbon Ave Rm 129, Price, UT 84501 Phone: 435-650-5803
Bert A Bruno, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 S Carbon Ave Ste 134, Price, UT 84501 Phone: 435-650-6562
Arthur Gregson Daniels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 W Price River Dr, Price, UT 84501 Phone: 435-637-2991 Fax: 435-637-1775

Benjamin Virlow Moore, CSW - Medicare Clinical Social Worker in Price, UT