Dr Michael Steven Moates, EDD, LP, LBA, QBA is a medicare enrolled "Psychologist - Clinical" provider in Orlando, Florida. His current practice location is
5764 N Orange Blossom Trl, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(179) 349-5008.
Dr Michael Steven Moates is licensed to practice in Florida (license number TPPY1662) 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 1063862258.
Healthcare Provider's Profile
| Full Name | Dr Michael Steven Moates |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 5764 N Orange Blossom Trl, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063862258
- Provider Enumeration Date: 06/17/2016
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537522453
- Enrollment ID: I20230825000131
Medical Identifiers
Medical identifiers for Dr Michael Steven Moates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063862258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 0133002387 (Virginia) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
| 247200000X | Technician, Other | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | TPPY1662 (Florida) | 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. Dr Michael Steven Moates allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Dr Michael Steven Moates 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 |
|---|
Dr Michael Steven Moates, EDD, LP, LBA, QBA
2700 Colorado Blvd Apt 1526,
Denton, TX 76210-6839
Ph: (817) 999-7534 | Dr Michael Steven Moates, EDD, LP, LBA, QBA
5764 N Orange Blossom Trl,
Orlando, FL 32810
Ph: (179) 349-5008 |
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