Dr Peter Andre Moisan, PHD is a medicare enrolled "Psychologist" provider in Valatie, New York. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
3055 Route 9, Valatie, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 758-2237.
Dr Peter Andre Moisan is licensed to practice in New York (license number 013576) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598835175.
Healthcare Provider's Profile
| Full Name | Dr Peter Andre Moisan |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 30 Years |
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| Location | 3055 Route 9, Valatie, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Peter Andre Moisan graduated from medical school in 1994
NPI Data:
- NPI Number: 1598835175
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991792491
- Enrollment ID: I20040427001272
Medical Identifiers
Medical identifiers for Dr Peter Andre Moisan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598835175 | NPI | - | NPPES |
| 01877090 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 013576 (New York) | Primary |
| 103T00000X | Psychologist | 7347 (Massachusetts) | Secondary |
| 103T00000X | Psychologist | PSY15331 (California) | Secondary |
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 Peter Andre Moisan allows following entities to bill medicare on his behalf.
| Entity Name | Valatie Psychological Services, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104456193
PECOS PAC ID: 0648698795
Enrollment ID: O20200807001613 |
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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. Dr Peter Andre Moisan 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 Peter Andre Moisan, PHD
Po Box 570,
Valatie, NY 12184
Ph: (518) 758-2237 | Dr Peter Andre Moisan, PHD
3055 Route 9,
Valatie, NY 12184-0570
Ph: (518) 758-2237 |
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