Ashley Moore, LCPC in South Portland, ME - Medicare Counselor Provider

Ashley Moore, LCPC is a medicare enrolled "Counselor - Mental Health" provider in South Portland, Maine. Her current practice location is 75 John Roberts Rd Bldg B, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (617) 501-5301.

Ashley Moore is licensed to practice in Maine (license number CC6957) 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 1578124590.

Contact Information

	Ashley Moore, LCPC
	75 John Roberts Rd Bldg B, South Portland, ME 04106-6967
	(617) 501-5301
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ashley Moore
Gender	Female
Speciality	Counselor - Mental Health
Location	75 John Roberts Rd Bldg B, South Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578124590
Provider Enumeration Date: 06/21/2019
Last Update Date: 04/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4789037656
Enrollment ID: I20240126001646

Medical Identifiers

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

Identifier	Type	State	Issuer
1578124590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	XL518 (Maine)	Secondary
101YM0800X	Counselor - Mental Health	CC6957 (Maine)	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. Ashley Moore allows following entities to bill medicare on her behalf.

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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. Ashley 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
Ashley Moore, LCPC 75 John Roberts Rd Bldg B, South Portland, ME 04106-6967 Ph: (617) 501-5301	Ashley Moore, LCPC 75 John Roberts Rd Bldg B, South Portland, ME 04106-6967 Ph: (617) 501-5301

Reviews and Comments

Counselor in South Portland, ME

Kristen Cianelli, Counselor Medicare: Medicare Enrolled Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995
Mrs. Mary Beach, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-874-1175
Jon Muench, LMSW,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995
June Coravos, LCPC,LADC,CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995
Sarah Elizabeth Hamann Hartford, LCSW, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 918 Broadway, South Portland, ME 04106 Phone: 603-486-6077
Maeve Grace Donnelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 D St, South Portland, ME 04106 Phone: 207-615-5213
Ms. Samantha King, MA, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Sawyer St, South Portland, ME 04106 Phone: 704-477-5212

Ashley Moore, LCPC - Medicare Counselor in South Portland, ME