Mr Thomas Wayne Moll, LCSW - Medicare Clinical Social Worker in Herrick, IL

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Mr Thomas Wayne Moll, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Herrick, Illinois. His current practice location is Po Box 144, Herrick, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 343-9079.

Mr Thomas Wayne Moll is licensed to practice in Illinois (license number 149.010950) 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 1053459503.

Contact Information

Mr Thomas Wayne Moll, LCSW
Po Box 144,
Herrick, IL 62431-0144
(217) 343-9079
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Thomas Wayne Moll
GenderMale
SpecialitySocial Worker - Clinical
LocationPo Box 144, Herrick, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053459503
  • Provider Enumeration Date: 02/04/2007
  • Last Update Date: 01/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557317419
  • Enrollment ID: I20050324000233

Medical Identifiers

Medical identifiers for Mr Thomas Wayne Moll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053459503NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149.010950 (Illinois)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 Thomas Wayne Moll allows following entities to bill medicare on his behalf.
Entity NamePana Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942326970
PECOS PAC ID: 3274437348
Enrollment ID: O20031121000350
Entity NameBoard Of Trustees Of Southern Illinois University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396097960
PECOS PAC ID: 4486667888
Enrollment ID: O20130424001019

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 Thomas Wayne Moll 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 AddressPractice Location Address
Mr Thomas Wayne Moll, LCSW
Po Box 144,
Herrick, IL 62431-0144

Ph: (217) 343-9079		Mr Thomas Wayne Moll, LCSW
Po Box 144,
Herrick, IL 62431-0144

Ph: (217) 343-9079

Reviews and Comments


Social Worker in Herrick, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.