Mary D Moore, LCSW in Bangor, ME - Medicare Clinical Social Worker Provider

Mary D Moore, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Bangor, Maine. She graduated from healthcare school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Penobscot Community Health Center and her current practice location is 1012 Union St, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 945-5247.

Mary D Moore is licensed to practice in Maine (license number LC12013) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134350234.

Contact Information

	Mary D Moore, LCSW
	1012 Union St, Bangor, ME 04401-3060
	(207) 945-5247
	(207) 990-1248

Map and Direction

Healthcare Provider's Profile

Full Name	Mary D Moore
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	1012 Union St, Bangor, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary D Moore graduated from medical school in 2005

NPI Data:

NPI Number: 1134350234
Provider Enumeration Date: 08/06/2009
Last Update Date: 05/05/2021

Medicare PECOS Information:

PECOS PAC ID: 2769650472
Enrollment ID: I20110725000545

Medical Identifiers

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

Identifier	Type	State	Issuer
1134350234	NPI	-	NPPES
432238199	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LC1351 (Maine)	Secondary
101YM0800X	Counselor - Mental Health	LC12013 (Maine)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penobscot Community Health Center	0143212670	132

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. Mary D Moore allows following entities to bill medicare on her behalf.

Entity Name	Penobscot Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427169010 PECOS PAC ID: 0143212670 Enrollment ID: O20040819000698

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. Mary D 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
Mary D Moore, LCSW Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 945-5247	Mary D Moore, LCSW 1012 Union St, Bangor, ME 04401-3060 Ph: (207) 945-5247

Reviews and Comments

Counselor in Bangor, ME

Joan Reinholdtsen, Counselor Medicare: Medicare Enrolled Practice Location: 157 Park St, Bangor, ME 04401 Phone: 207-992-0410
Emily A Goode, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 86 Davis Rd, Bangor, ME 04401 Phone: 207-992-2205 Fax: 207-992-2207
Beth Cottrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Stillwater Ave Ste 104, Bangor, ME 04401 Phone: 207-659-6510
Melissa Leary, ADCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 689 Odlin Rd, Bangor, ME 04401 Phone: 207-947-6800
Mrs. Debbie Lynn Webber, MED, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Springer Road, 1 Springer Place Suite 202, Bangor, ME 04401 Phone: 207-992-2535 Fax: 207-992-2539
Nicholas Jon Pelkey, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Harlow St, Suite 360, Bangor, ME 04401 Phone: 207-945-9777 Fax: 207-945-9780
Amanda Elliott, ADCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 689 Odlin Rd Ste 1, Bangor, ME 04401 Phone: 207-947-6800

Mary D Moore, LCSW - Medicare Counselor in Bangor, ME