Deborah Ellen Witsken Mood, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Aurora, Colorado. Her current practice location is
13121 E 17th Ave, C234- Jfk Partners, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 724-7659.
Deborah Ellen Witsken Mood is licensed to practice in Colorado (license number PSY.0003732) 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 1508111501.
Healthcare Provider's Profile
| Full Name | Deborah Ellen Witsken Mood |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 13121 E 17th Ave, Aurora, Colorado |
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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: 1508111501
- Provider Enumeration Date: 07/17/2012
- Last Update Date: 09/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244488047
- Enrollment ID: I20120920000328
Medical Identifiers
Medical identifiers for Deborah Ellen Witsken Mood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508111501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 3732 (Colorado) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3732 (Colorado) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 3732 (Colorado) | Secondary |
| 103TS0200X | Psychologist - School | 3732 (Colorado) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY.0003732 (Colorado) | 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. Deborah Ellen Witsken Mood allows following entities to bill medicare on her behalf.
| Entity Name | University Physicians Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962461889
PECOS PAC ID: 3476465667
Enrollment ID: O20031105000375 |
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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. Deborah Ellen Witsken Mood 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 |
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Deborah Ellen Witsken Mood, PHD
13121 E 17th Ave, C234- Jfk Partners,
Aurora, CO 80045-2535
Ph: () - | Deborah Ellen Witsken Mood, PHD
13121 E 17th Ave, C234- Jfk Partners,
Aurora, CO 80045-2535
Ph: (303) 724-7659 |
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