Andrea Moore, is a medicare enrolled "Social Worker - Clinical" provider in Calumet Park, Illinois. Her current practice location is
12446 S Loomis St, Calumet Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 641-7095.
Andrea Moore is licensed to practice in Illinois (license number 149.016158) 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 1578010435.
Healthcare Provider's Profile
Full Name | Andrea Moore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12446 S Loomis St, Calumet Park, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578010435
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 09/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 1052778602
- Enrollment ID: I20230613001873
Medical Identifiers
Medical identifiers for Andrea Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578010435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.016158 (Illinois) | 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. Andrea Moore allows following entities to bill medicare on her behalf.
Entity Name | Midwest Post Acute Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
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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. Andrea 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 |
Andrea Moore, Po Box 53529, Chicago, IL 60653-0529 Ph: (773) 641-7095 | Andrea Moore, 12446 S Loomis St, Calumet Park, IL 60827-5832 Ph: (773) 641-7095 |
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