Dr Louis Ernesto Mora, PHD in Bellport, NY - Medicare Psychologist Provider

Dr Louis Ernesto Mora, PHD is a medicare enrolled "Psychologist" provider in Bellport, New York. His current practice location is 30 Station Court, Suite 21, Bellport, New York. You can reach out to his office (for appointments etc.) via phone at (347) 740-5690.

Dr Louis Ernesto Mora is licensed to practice in New York (license number 018957-1) 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 1336484112.

Contact Information

	Dr Louis Ernesto Mora, PHD
	30 Station Court, Suite 21, Bellport, NY 11713-2454
	(347) 740-5690
	(833) 225-9073

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Louis Ernesto Mora
Gender	Male
Speciality	Psychologist
Location	30 Station Court, Bellport, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336484112
Provider Enumeration Date: 12/04/2012
Last Update Date: 02/25/2025

Medicare PECOS Information:

PECOS PAC ID: 8224283874
Enrollment ID: I20130305000147

Medical Identifiers

Medical identifiers for Dr Louis Ernesto Mora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336484112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	018957-1 (New York)	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 Louis Ernesto Mora allows following entities to bill medicare on his behalf.

Entity Name	Louis E Mora Phd Psychologist Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902141328 PECOS PAC ID: 7315192960 Enrollment ID: O20130305000134

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 Louis Ernesto Mora 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 Louis Ernesto Mora, PHD 106 Melrose Pkwy, East Patchogue, NY 11772-6269 Ph: (347) 740-5690	Dr Louis Ernesto Mora, PHD 30 Station Court, Suite 21, Bellport, NY 11713-2454 Ph: (347) 740-5690

Reviews and Comments

Psychologist in Bellport, NY

Eva Ruth Gochman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 173 South Country Road, Bellport, NY 11713 Phone: 631-776-1305 Fax: 631-776-1305
Dana Thomson, PSY, D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Martha Ave, Bellport, NY 11713 Phone: 516-655-7957
Gerald Stephen Kane, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 112 South Country Road, Suite 116, Bellport, NY 11713 Phone: 631-776-2410 Fax: 631-776-2409

Dr Louis Ernesto Mora, PHD - Medicare Psychologist in Bellport, NY