Ms Tracey Moore, LCSW in Saint Louis, MO - Medicare Social Worker Provider

Ms Tracey Moore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Louis, Missouri. Her current practice location is 4625 Lindell Blvd, Ste 200&300, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 374-9113.

Ms Tracey Moore is licensed to practice in Missouri (license number 2020037895) 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 1144961467.

Contact Information

	Ms Tracey Moore, LCSW
	4625 Lindell Blvd, Ste 200&300, Saint Louis, MO 63108-3725
	(636) 374-9113
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tracey Moore
Gender	Female
Speciality	Social Worker - Clinical
Location	4625 Lindell Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144961467
Provider Enumeration Date: 04/02/2022
Last Update Date: 04/02/2022

Medicare PECOS Information:

PECOS PAC ID: 6406225663
Enrollment ID: I20221209000682

Medical Identifiers

Medical identifiers for Ms Tracey Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144961467	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2020037895 (Missouri)	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. Ms Tracey Moore allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440

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. Ms Tracey 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
Ms Tracey Moore, LCSW 4625 Lindell Blvd Ste 200&300, Saint Louis, MO 63108-3725 Ph: (636) 674-9113	Ms Tracey Moore, LCSW 4625 Lindell Blvd, Ste 200&300, Saint Louis, MO 63108-3725 Ph: (636) 374-9113

Reviews and Comments

Social Worker in Saint Louis, MO

Deborah Molly Levin, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10411 Clayton Rd Ste 305, Saint Louis, MO 63131 Phone: 314-378-7548
Ms. Jennifer Marie Dunn, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6533 Scanlan Ave, Saint Louis, MO 63139 Phone: 314-550-5598
Ms. Phoebe Sue Pinkerton, LCSW MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3820 N 14th St, Saint Louis, MO 63107 Phone: 314-477-3165 Fax: 314-921-9834
Susan Gilmor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100
Arie Baker, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl, Campus Box 8116, Saint Louis, MO 63110 Phone: 314-747-6169 Fax: 314-454-2252
Emilee Lauren Burns, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5501 Delmar Blvd Ste B300, Saint Louis, MO 63112 Phone: 314-628-6205
Patricia Anne Baca, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd Ste 6017b, Saint Louis, MO 63141 Phone: 314-251-7840

Ms Tracey Moore, LCSW - Medicare Clinical Social Worker in Saint Louis, MO