Dr Mary Ann Moore, PSYD in Johnson City, NY - Medicare Psychologist Provider

Dr Mary Ann Moore, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Johnson City, New York. Her current practice location is 679 Main St, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 237-0645.

Dr Mary Ann Moore is licensed to practice in New York (license number 011128-1) 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 1770197766.

Contact Information

	Dr Mary Ann Moore, PSYD
	679 Main St, Johnson City, NY 13790-1716
	(607) 237-0645
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Ann Moore
Gender	Female
Speciality	Psychologist - Clinical
Location	679 Main St, Johnson City, 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: 1770197766
Provider Enumeration Date: 09/07/2020
Last Update Date: 09/07/2020

Medicare PECOS Information:

PECOS PAC ID: 8123434016
Enrollment ID: I20210301000742

Medical Identifiers

Medical identifiers for Dr Mary Ann Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770197766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	011128-1 (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 Mary Ann Moore allows following entities to bill medicare on her behalf.

Entity Name	Che Senior Psychological Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429

Entity Name	Knapp Street Psychiatry, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760

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 Mary Ann 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
Dr Mary Ann Moore, PSYD 119 Oconnell Rd, Vestal, NY 13850-6001 Ph: (607) 239-8063	Dr Mary Ann Moore, PSYD 679 Main St, Johnson City, NY 13790-1716 Ph: (607) 237-0645

Reviews and Comments

Psychologist in Johnson City, NY

Maxine Granz Gage, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Broad St, Johnson City, NY 13790 Phone: 607-798-7117
Dr. Elisa M Harris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 167 Oakdale Rd, Johnson City, NY 13790 Phone: 607-600-9687 Fax: 607-306-2063
Dr. Ruth Anne Blizard, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 269 Riverside Dr, Johnson City, NY 13790 Phone: 607-348-7578
Dr. Jerry David Duvinsky, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 804 Valley Plz, Johnson City, NY 13790 Phone: 607-797-1100 Fax: 607-797-9514
Dr. Stephen Alan Lisman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 240 Riverside Dr, Suite 2, Johnson City, NY 13790 Phone: 607-797-1652 Fax: 607-797-6631
Dr. Jessica Marie Hussar Boyle, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 269 Riverside Dr, Johnson City, NY 13790 Phone: 607-252-6634 Fax: 607-203-5720
Dr. Susan W. Blue, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 804 Valley Plz, Johnson City, NY 13790 Phone: 607-797-1100 Fax: 607-797-9514

Dr Mary Ann Moore, PSYD - Medicare Psychologist in Johnson City, NY