Mr John Patrick Moore, LICSW in Minneapolis, MN - Medicare Social Worker Provider

Mr John Patrick Moore, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. His current practice location is One Veterans Drive, Va Medical Center (116a2/3), Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 467-4783.

Mr John Patrick Moore is licensed to practice in Minnesota (license number 13225) 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 1154332609.

Contact Information

	Mr John Patrick Moore, LICSW
	One Veterans Drive, Va Medical Center (116a2/3), Minneapolis, MN 55417
	(612) 467-4783
	(612) 467-5309

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Patrick Moore
Gender	Male
Speciality	Social Worker - Clinical
Location	One Veterans Drive, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154332609
Provider Enumeration Date: 08/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8123549136
Enrollment ID: I20250306002460

Medical Identifiers

Medical identifiers for Mr John Patrick Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154332609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13225 (Minnesota)	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. Mr John Patrick Moore allows following entities to bill medicare on his behalf.

Entity Name	Bhsi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174635643 PECOS PAC ID: 3274504816 Enrollment ID: O20040805000520

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. Mr John Patrick 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
Mr John Patrick Moore, LICSW 8385 113th St S, Cottage Grove, MN 55016-4520 Ph: (651) 458-8647	Mr John Patrick Moore, LICSW One Veterans Drive, Va Medical Center (116a2/3), Minneapolis, MN 55417 Ph: (612) 467-4783

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Mcnaughton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454

Mr John Patrick Moore, LICSW - Medicare Clinical Social Worker in Minneapolis, MN