Dr Jacob Alexander Moore, PHD - Medicare Counselor in Rockville, MD

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Dr Jacob Alexander Moore, PHD is a medicare enrolled "Psychologist - Counseling" provider in Rockville, Maryland. His current practice location is 9707 Key West Ave Ste 100, Rockville, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 750-6467.

Dr Jacob Alexander Moore is licensed to practice in Maryland (license number 07251) 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 1821762220.

Contact Information

Dr Jacob Alexander Moore, PHD
9707 Key West Ave Ste 100,
Rockville, MD 20850-3992
(240) 750-6467
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Jacob Alexander Moore
GenderMale
SpecialityPsychologist - Counseling
Location9707 Key West Ave Ste 100, Rockville, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821762220
  • Provider Enumeration Date: 08/09/2021
  • Last Update Date: 03/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2567988355
  • Enrollment ID: I20250424001729

Medical Identifiers

Medical identifiers for Dr Jacob Alexander Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821762220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health A0611 (Maryland)Secondary
103TC1900XPsychologist - Counseling 07251 (Maryland)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 Jacob Alexander Moore allows following entities to bill medicare on his behalf.
Entity NameQuince Orchard Psychotherapy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336670389
PECOS PAC ID: 5395194302
Enrollment ID: O20231214003799

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 Jacob Alexander 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 AddressPractice Location Address
Dr Jacob Alexander Moore, PHD
5822 Barnwood Pl,
Columbia, MD 21044-2842

Ph: (301) 272-5080		Dr Jacob Alexander Moore, PHD
9707 Key West Ave Ste 100,
Rockville, MD 20850-3992

Ph: (240) 750-6467

Reviews and Comments


Psychologist in Rockville, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.