Andrew Moe, PSYD, LP, LPCC, LADC is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. His current practice location is
410 Church St Se, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 624-1444.
Andrew Moe is licensed to practice in Minnesota (license number LP7006) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568062461.
Healthcare Provider's Profile
| Full Name | Andrew Moe |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 410 Church St Se, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1568062461
- Provider Enumeration Date: 10/29/2020
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062859796
- Enrollment ID: I20240318001752
Medical Identifiers
Medical identifiers for Andrew Moe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568062461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304713 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2349 (Minnesota) | Secondary |
| 103T00000X | Psychologist | LP7006 (Minnesota) | 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. Andrew Moe allows following entities to bill medicare on his behalf.
| Entity Name | Regents Of The University Of Minnesota |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114019858
PECOS PAC ID: 7416856059
Enrollment ID: O20040102000679 |
|---|
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. Andrew Moe 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 |
|---|
Andrew Moe, PSYD, LP, LPCC, LADC
410 Church St Se,
Minneapolis, MN 55455-0222
Ph: () - | Andrew Moe, PSYD, LP, LPCC, LADC
410 Church St Se,
Minneapolis, MN 55455-0222
Ph: (612) 624-1444 |
Reviews and Comments