Mrs Sandra Renee Moog, MS/CCC-SLP - Medicare Speech-Language Pathologist in Milwaukee, WI

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Mrs Sandra Renee Moog, MS/CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Milwaukee, Wisconsin. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Reliant Senior Living Llc and her current practice location is 3540 S 43rd St, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 328-2104.

Mrs Sandra Renee Moog is licensed to practice in Wisconsin (license number 2681-154) 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 1467625269.

Contact Information

Mrs Sandra Renee Moog, MS/CCC-SLP
3540 S 43rd St,
Milwaukee, WI 53220-1502
(414) 328-2104
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Sandra Renee Moog
GenderFemale
SpecialityQualified Speech Language Pathologist
Experience22 Years
Location3540 S 43rd St, Milwaukee, Wisconsin
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:
  • Mrs Sandra Renee Moog graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1467625269
  • Provider Enumeration Date: 04/12/2008
  • Last Update Date: 04/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0840543674
  • Enrollment ID: I20181025000178

Medical Identifiers

Medical identifiers for Mrs Sandra Renee Moog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467625269NPI-NPPES
42586400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 2681-154 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Reliant Senior Living Llc0446754451117

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 Sandra Renee Moog allows following entities to bill medicare on her behalf.
Provider NameReliant Senior Living LLC
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1013899582
PECOS PAC ID: 0446754451
Enrollment ID: O20251021003326

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 Sandra Renee Moog 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
Mrs Sandra Renee Moog, MS/CCC-SLP
3456 S 35th St,
Milwaukee, WI 53215-4104

Ph: (414) 333-4680		Mrs Sandra Renee Moog, MS/CCC-SLP
3540 S 43rd St,
Milwaukee, WI 53220-1502

Ph: (414) 328-2104

Reviews and Comments


Speech-Language Pathologist in Milwaukee, WI

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Kathleen Major, MS CCC-SLP
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Phone: 414-264-6600    

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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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