Gail Moore, LMSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Troy, New York. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Samaritan Hospital Of Troy, New York, Koinonia Primary Care Inc and her current practice location is
1801 6th Ave, Troy, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 274-5143.
Gail Moore is licensed to practice in New York (license number 065270) 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 1174935902.
Healthcare Provider's Profile
| Full Name | Gail Moore |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 23 Years |
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| Location | 1801 6th Ave, Troy, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gail Moore graduated from medical school in 2001
NPI Data:
- NPI Number: 1174935902
- Provider Enumeration Date: 05/28/2014
- Last Update Date: 05/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769720556
- Enrollment ID: I20190221001256
Medical Identifiers
Medical identifiers for Gail Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174935902 | NPI | - | NPPES |
| 03008266 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 083251 (New York) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 065270 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Samaritan Hospital Of Troy, New York | 6507770070 | 181 |
| Koinonia Primary Care Inc | 6901041425 | 5 |
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. Gail Moore allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Hospital Of Troy, New York |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782 |
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| Entity Name | Koinonia Primary Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023389533
PECOS PAC ID: 6901041425
Enrollment ID: O20130403000334 |
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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. Gail 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 |
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Gail Moore, LMSW
Po Box 14890,
Albany, NY 12212-4890
Ph: (518) 525-5634 | Gail Moore, LMSW
1801 6th Ave,
Troy, NY 12180-3440
Ph: (518) 274-5143 |
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