Mr Daniel Moore, PHD in Hattiesburg, MS - Medicare Clinical Psychologist Provider

Mr Daniel Moore, PHD is a medicare enrolled "Psychologist" provider in Hattiesburg, Mississippi. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 103 S 19th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 544-4641.

Mr Daniel Moore is licensed to practice in Mississippi (license number 33-545) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1861400244.

Contact Information

	Mr Daniel Moore, PHD
	103 S 19th Ave, Hattiesburg, MS 39401-6171
	(601) 544-4641
	(601) 584-4053

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Daniel Moore
Gender	Male
Speciality	Clinical Psychologist
Experience	31 Years
Location	103 S 19th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Daniel Moore graduated from medical school in 1993

NPI Data:

NPI Number: 1861400244
Provider Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3678896347
Enrollment ID: I20150105000842

Medical Identifiers

Medical identifiers for Mr Daniel Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861400244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	33-545 (Mississippi)	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. Mr Daniel Moore allows following entities to bill medicare on his behalf.

Entity Name	Your Family Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891192068 PECOS PAC ID: 7214250158 Enrollment ID: O20141229000338

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. Mr Daniel 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
Mr Daniel Moore, PHD Po Box 1030, Hattiesburg, MS 39403-1030 Ph: (601) 544-4641	Mr Daniel Moore, PHD 103 S 19th Ave, Hattiesburg, MS 39401-6171 Ph: (601) 544-4641

Reviews and Comments

Psychologist in Hattiesburg, MS

Dr. Kristy Disabatino Mcraney, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 Golden Eagle Avenue Rm 201, Hattiesburg, MS 39406 Phone: 601-266-4588 Fax: 601-266-6928
Lynwood Clinton Wheeler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740
John Clemmons, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 239 Methodist Blvd, Hattiesburg, MS 39402 Phone: 601-296-2125 Fax: 601-268-8645
Marcia J Hartwig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5720
Ryan Myles Denney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Southern Point Pkwy, Suite 200, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-268-2039
John Richard Harsh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Courtenay Cir, Hattiesburg, MS 39402 Phone: 601-579-5180
Dr. Sidne Buelow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 Dogwood Dr, Hattiesburg, MS 39402 Phone: 601-818-3079

Mr Daniel Moore, PHD - Medicare Psychologist in Hattiesburg, MS