Sonya Glyn Moore, MS, LADAC II is a medicare enrolled "Psychologist - Addiction (substance Use Disorder)" provider in Morristown, Tennessee. Her current practice location is
400 W 1st North St Ste D, Morristown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(828) 335-2310.
Sonya Glyn Moore is licensed to practice in Tennessee (license number LDC0000001260) 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 1255736153.
Healthcare Provider's Profile
| Full Name | Sonya Glyn Moore |
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| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 400 W 1st North St Ste D, Morristown, Tennessee |
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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: 1255736153
- Provider Enumeration Date: 11/04/2014
- Last Update Date: 04/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446388748
- Enrollment ID: I20250318003391
Medical Identifiers
Medical identifiers for Sonya Glyn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255736153 | NPI | - | NPPES |
| Q028453 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | LDC0000001260 (Tennessee) | 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. Sonya Glyn Moore allows following entities to bill medicare on her behalf.
| Entity Name | Joyful Life Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164957908
PECOS PAC ID: 5092196626
Enrollment ID: O20220713004174 |
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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. Sonya Glyn 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 |
|---|
Sonya Glyn Moore, MS, LADAC II
4845 W Andrew Johnson Hwy,
Morristown, TN 37814-1023
Ph: (828) 335-2310 | Sonya Glyn Moore, MS, LADAC II
400 W 1st North St Ste D,
Morristown, TN 37814-4617
Ph: (828) 335-2310 |
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