Ann Marie Moylan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
1717 Ne 42nd Ave Ste 3100, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 567-5103.
Ann Marie Moylan is licensed to practice in Oregon (license number 15431) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164099081.
Healthcare Provider's Profile
Full Name | Ann Marie Moylan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1717 Ne 42nd Ave Ste 3100, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164099081
- Provider Enumeration Date: 06/09/2021
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678001963
- Enrollment ID: I20250602000403
Medical Identifiers
Medical identifiers for Ann Marie Moylan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164099081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6126 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 15431 (Oregon) | 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. Ann Marie Moylan allows following entities to bill medicare on her behalf.
Entity Name | Larsen Sanchez Psychology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588041388 PECOS PAC ID: 6608138383 Enrollment ID: O20180315002490 |
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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. Ann Marie Moylan 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 |
Ann Marie Moylan, LCSW 1717 Ne 42nd Ave Ste 3100, Portland, OR 97213-1572 Ph: (503) 567-5103 | Ann Marie Moylan, LCSW 1717 Ne 42nd Ave Ste 3100, Portland, OR 97213-1572 Ph: (503) 567-5103 |
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