Kandice Moore, MS, PPS in Santa Clara, CA - Medicare Counselor Provider

Kandice Moore, MS, PPS is a medicare enrolled "Counselor - Professional" provider in Santa Clara, California. Her current practice location is 5201 Great America Pkwy Ste 320, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (323) 205-7088.

Kandice Moore is licensed to practice in California (license number 15842) 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 1609462316.

Contact Information

	Kandice Moore, MS, PPS
	5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140
	(323) 205-7088
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kandice Moore
Gender	Female
Speciality	Counselor - Professional
Location	5201 Great America Pkwy Ste 320, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609462316
Provider Enumeration Date: 12/16/2020
Last Update Date: 11/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1557890993
Enrollment ID: I20250129002831

Medical Identifiers

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

Identifier	Type	State	Issuer
1609462316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	15842 (California)	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. Kandice Moore allows following entities to bill medicare on her behalf.

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

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. Kandice 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
Kandice Moore, MS, PPS 9447 Friant St, Rancho Cucamonga, CA 91730-4025 Ph: (909) 697-6096	Kandice Moore, MS, PPS 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 Ph: (323) 205-7088

Reviews and Comments

Counselor in Santa Clara, CA

Richard Grant Muir, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Rachel Lasky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Agnew Rd Apt 425, Santa Clara, CA 95054 Phone: 480-286-1192
Laura Daniela Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Michelle Albanese Pettengill, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Stephanie Helen Schultze Ponce, Counselor Medicare: Medicare Enrolled Practice Location: 3840 Homestead Rd, Santa Clara, CA 95051 Phone: 408-851-4922
Jon Michael Faxon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center, Santa Clara, CA 95051 Phone: 408-569-2604
Daisy C Corral, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222

Kandice Moore, MS, PPS - Medicare Counselor in Santa Clara, CA