Mrs Stacey L S Moore, MOTR/L in Gresham, OR - Medicare Occupational Therapist Provider

Mrs Stacey L S Moore, MOTR/L is a medicare enrolled "Occupational Therapist" provider in Gresham, Oregon. Her current practice location is 2895 Se Powell Valley Rd, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 571-5319.

Mrs Stacey L S Moore is licensed to practice in Oregon (license number 1073412) 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 1558426593.

Contact Information

	Mrs Stacey L S Moore, MOTR/L
	2895 Se Powell Valley Rd, Gresham, OR 97080-1492
	(971) 571-5319
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacey L S Moore
Gender	Female
Speciality	Occupational Therapist
Location	2895 Se Powell Valley Rd, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558426593
Provider Enumeration Date: 12/27/2006
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 9739534199
Enrollment ID: I20231005000779

Medical Identifiers

Medical identifiers for Mrs Stacey L S Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558426593	NPI	-	NPPES
101847812 0001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OC-009631 (Pennsylvania)	Secondary
225X00000X	Occupational Therapist	1073412 (Oregon)	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. Mrs Stacey L S Moore allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1184205056 PECOS PAC ID: 2365359932 Enrollment ID: O20140910001015

Provider Name	Rehab Specialists Outpatient Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952075962 PECOS PAC ID: 6507254497 Enrollment ID: O20211026002073

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. Mrs Stacey L S 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
Mrs Stacey L S Moore, MOTR/L 12806 Ne San Rafael St, Portland, OR 97230-1826 Ph: () -	Mrs Stacey L S Moore, MOTR/L 2895 Se Powell Valley Rd, Gresham, OR 97080-1492 Ph: (971) 571-5319

Reviews and Comments

Occupational Therapist in Gresham, OR

Mrs. Ann Charise Luciano Cooper, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Ne 5th St, Gresham, OR 97030 Phone: 503-666-5600
Ms. Victoria M Horton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5905 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-665-1151
Alexandra Blythe Matulewicz, M.S. OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444
Rosie Endow, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 24076 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-674-7860 Fax: 503-674-7642
Carli Tedford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2895 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-667-9330
Jamie G Morton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333
Thao My Dang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444

Mrs Stacey L S Moore, MOTR/L - Medicare Occupational Therapist in Gresham, OR