Marisa Mooney, is a medicare enrolled "Speech-language Pathologist" provider in Sandy, Oregon. Her current practice location is
17420 Meinig Ave, Sandy, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 427-0118.
Marisa Mooney is licensed to practice in Oregon (license number 17914) 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 1588393961.
Healthcare Provider's Profile
| Full Name | Marisa Mooney |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 17420 Meinig Ave, Sandy, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588393961
- Provider Enumeration Date: 06/09/2022
- Last Update Date: 04/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567973936
- Enrollment ID: I20250613001911
Medical Identifiers
Medical identifiers for Marisa Mooney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588393961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 17914 (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. Marisa Mooney allows following entities to bill medicare on her behalf.
| Provider Name | Physiotherapy Associates Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184362337
PECOS PAC ID: 3577470442
Enrollment ID: O20050622001174 |
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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. Marisa Mooney 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 |
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Marisa Mooney,
17420 Meinig Ave,
Sandy, OR 97055-8068
Ph: (503) 427-0118 | Marisa Mooney,
17420 Meinig Ave,
Sandy, OR 97055-8068
Ph: (503) 427-0118 |
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