Antoinette Cooper Tate, PHD is a medicare enrolled "Psychologist" provider in Moorestown, New Jersey. She graduated from healthcare school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Temenos Center Llc and her current practice location is
720 E Main St Ste 1a, Moorestown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 722-9043.
Antoinette Cooper Tate is licensed to practice in New Jersey (license number 35SI00544600) 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 1417181850.
Healthcare Provider's Profile
| Full Name | Antoinette Cooper Tate |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | 720 E Main St Ste 1a, Moorestown, New Jersey |
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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:
- Antoinette Cooper Tate graduated from medical school in 2010
NPI Data:
- NPI Number: 1417181850
- Provider Enumeration Date: 05/13/2009
- Last Update Date: 11/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062764335
- Enrollment ID: I20181015002724
Medical Identifiers
Medical identifiers for Antoinette Cooper Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417181850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 35SI00544600 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Temenos Center Llc | 7416205232 | 6 |
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. Antoinette Cooper Tate allows following entities to bill medicare on her behalf.
| Entity Name | Temenos Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699926550
PECOS PAC ID: 7416205232
Enrollment ID: O20180809005033 |
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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. Antoinette Cooper Tate 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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Antoinette Cooper Tate, PHD
720 E Main St Ste 1a,
Moorestown, NJ 08057-3058
Ph: (856) 722-9043 | Antoinette Cooper Tate, PHD
720 E Main St Ste 1a,
Moorestown, NJ 08057-3058
Ph: (856) 722-9043 |
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