Mr Stuart Coleman Moore, LCSW in Fairfax, VA - Medicare Psychologist Provider

Mr Stuart Coleman Moore, LCSW is a medicare enrolled "Psychologist" provider in Fairfax, Virginia. His current practice location is 10560 Main St Ste 511b, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 386-0050.

Mr Stuart Coleman Moore is licensed to practice in Virginia (license number 0904003326) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346318763.

Contact Information

	Mr Stuart Coleman Moore, LCSW
	10560 Main St Ste 511b, Fairfax, VA 22030-7173
	(703) 386-0050
	(703) 476-6013

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Stuart Coleman Moore
Gender	Male
Speciality	Psychologist
Location	10560 Main St Ste 511b, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346318763
Provider Enumeration Date: 12/01/2006
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 3971649278
Enrollment ID: I20120406000309

Medical Identifiers

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

Identifier	Type	State	Issuer
1346318763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	0904003326 (Virginia)	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 Stuart Coleman Moore allows following entities to bill medicare on his behalf.

Entity Name	Stuart Moore Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417440397 PECOS PAC ID: 3577803873 Enrollment ID: O20190325000741

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 Stuart Coleman 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 Stuart Coleman Moore, LCSW 10560 Main St Ste 511b, Fairfax, VA 22030-7173 Ph: (703) 386-0050	Mr Stuart Coleman Moore, LCSW 10560 Main St Ste 511b, Fairfax, VA 22030-7173 Ph: (703) 386-0050

Reviews and Comments

Psychologist in Fairfax, VA

Lisseth Carmen Thomas, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct, Fairfax, VA 22031 Phone: 703-204-0085
Katherine Nethercote, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 571-423-4900
Adrienne Konstantin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Blenheim Blvd Ste 53a, Fairfax, VA 22030 Phone: 703-972-2388
Heather Miller, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031 Phone: 703-442-5959
Dr. Jennie Lynn Crim, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10560 Main St Ste 507, Fairfax, VA 22030 Phone: 703-691-1326 Fax: 703-691-3553
Dr. Diane Marie Hoekstra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10721 Main St Ste 2350, Fairfax, VA 22030 Phone: 703-591-5912 Fax: 703-581-7210
Frances Jillian Priesmeyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-619-4859

Mr Stuart Coleman Moore, LCSW - Medicare Psychologist in Fairfax, VA