Mr Thomas Wayne Moll, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Herrick, Illinois. His current practice location is
Po Box 144, Herrick, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 343-9079.
Mr Thomas Wayne Moll is licensed to practice in Illinois (license number 149.010950) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053459503.
Healthcare Provider's Profile
Full Name | Mr Thomas Wayne Moll |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | Po Box 144, Herrick, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Thomas Wayne Moll attended and graduated from in
NPI Data:
- NPI Number: 1053459503
- Provider Enumeration Date: 02/04/2007
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Thomas Wayne Moll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053459503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.010950 (Illinois) | Primary |
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. Mr Thomas Wayne Moll 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 |
Mr Thomas Wayne Moll, LCSW Po Box 144, Herrick, IL 62431-0144 Ph: (217) 343-9079 | Mr Thomas Wayne Moll, LCSW Po Box 144, Herrick, IL 62431-0144 Ph: (217) 343-9079 |
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