Mindy Stutzman Moore, PHD - Medicare Psychologist in Elk Grove Village, IL

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Mindy Stutzman Moore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Elk Grove Village, Illinois. Her current practice location is 1920 Nerge Rd, Elk Grove Village, Illinois. You can reach out to her office (for appointments etc.) via phone at (954) 835-2835.

Mindy Stutzman Moore is licensed to practice in Illinois (license number 071009756) 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 1356744593.

Contact Information

Mindy Stutzman Moore, PHD
1920 Nerge Rd,
Elk Grove Village, IL 60007-2972
(954) 835-2835
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMindy Stutzman Moore
GenderFemale
SpecialityPsychologist - Clinical
Location1920 Nerge Rd, Elk Grove Village, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356744593
  • Provider Enumeration Date: 10/02/2014
  • Last Update Date: 02/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103180450
  • Enrollment ID: I20180514001614

Medical Identifiers

Medical identifiers for Mindy Stutzman Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356744593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071009756 (Illinois)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. Mindy Stutzman Moore allows following entities to bill medicare on her behalf.
Entity NameIllinois Post-acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952830853
PECOS PAC ID: 6305112103
Enrollment ID: O20171023002483
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210804000886
Entity NameCs Pacs 3 Midwest Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972368785
PECOS PAC ID: 4183164734
Enrollment ID: O20240913003051
Entity NameCs Pacs 3 Il, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598577124
PECOS PAC ID: 3577083278
Enrollment ID: O20250225002678

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. Mindy Stutzman 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 AddressPractice Location Address
Mindy Stutzman Moore, PHD
1235a N Clybourn Ave Ste 210,
Chicago, IL 60610-1707

Ph: () -		Mindy Stutzman Moore, PHD
1920 Nerge Rd,
Elk Grove Village, IL 60007-2972

Ph: (954) 835-2835

Reviews and Comments


Psychologist in Elk Grove Village, IL

Cynthia Chavez,
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Phone: 847-524-8800    
Laura Ehas,
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Clifford A Massie, PHD
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Practice Location: 800 Biesterfield Rd, Suite 510, Elk Grove Village, IL 60007
Phone: 847-981-3660    Fax: 847-956-5108
Mariah Vinson, MA
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Medicare: Not Enrolled in Medicare
Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007
Phone: 847-524-8800    
Dr. Eva Irene Kardaras, PHD
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Medicare: Not Enrolled in Medicare
Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007
Phone: 847-524-8800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.