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. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Illinois Post-acute Medical Services 1 Pc and 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 accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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
SpecialityClinical Psychologist
Experience12 Years
Location1920 Nerge Rd, Elk Grove Village, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mindy Stutzman Moore graduated from medical school in 2014
  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

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Illinois Post-acute Medical Services 1 Pc630511210320

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: Not Available		Mindy Stutzman Moore, PHD
1920 Nerge Rd,
Elk Grove Village, IL 60007-2972

Ph: (954) 835-2835

Reviews and Comments


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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.

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