Mrs Joni Marie Moon, PSYD in Gresham, OR - Medicare Psychologist Provider

Mrs Joni Marie Moon, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Gresham, Oregon. Her current practice location is 502 N Main Ave, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 891-0749.

Mrs Joni Marie Moon is licensed to practice in Oregon (license number 1637) 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 1235221052.

Contact Information

	Mrs Joni Marie Moon, PSYD
	502 N Main Ave, Gresham, OR 97030-7236
	(503) 891-0749
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Joni Marie Moon
Gender	Female
Speciality	Psychologist - Clinical
Location	502 N Main Ave, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235221052
Provider Enumeration Date: 09/29/2006
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 3577759588
Enrollment ID: I20101201001249

Medical Identifiers

Medical identifiers for Mrs Joni Marie Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235221052	NPI	-	NPPES
164936	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1637 (Oregon)	Secondary
103TC0700X	Psychologist - Clinical	1637 (Oregon)	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. Mrs Joni Marie Moon allows following entities to bill medicare on her behalf.

Entity Name	Moon-hart Psychotherapy & Consulting
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659176725 PECOS PAC ID: 2668998311 Enrollment ID: O20250425001729

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. Mrs Joni Marie Moon 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
Mrs Joni Marie Moon, PSYD 2700 Sw Corbeth Ln, Troutdale, OR 97060-3140 Ph: (503) 891-0749	Mrs Joni Marie Moon, PSYD 502 N Main Ave, Gresham, OR 97030-7236 Ph: (503) 891-0749

Reviews and Comments

Psychologist in Gresham, OR

Clark Paul Rector, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1700 Nw Civic Dr, Gresham, OR 97030 Phone: 503-666-8832 Fax: 503-669-8641
Beth Diane French, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600
Patricia Renee Shimek, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2222 E Powell Blvd, Gresham, OR 97080 Phone: 503-669-4300 Fax: 503-669-4301
Dr. Douglas K. Hicks, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1217 Ne Burnside Rd, Building B, Suite 401, Gresham, OR 97030 Phone: 503-666-8832 Fax: 503-669-8641
Dr. Ryan Lee Skelton, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 123 E Powell Blvd, 305, Gresham, OR 97030 Phone: 503-789-9394
Mona Marie Ozaki, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1550 Nw Eastman Pkwy, Suite 280, Gresham, OR 97030 Phone: 503-318-3439 Fax: 503-665-3260

Mrs Joni Marie Moon, PSYD - Medicare Psychologist in Gresham, OR