Dr Chad Mosher, is a medicare enrolled "Psychologist - Clinical" provider in Tucson, Arizona. His current practice location is
4646 E Fort Lowell Rd, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 704-7056.
Dr Chad Mosher is licensed to practice in Arizona (license number 4959) 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 1053801316.
Healthcare Provider's Profile
Full Name | Dr Chad Mosher |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 4646 E Fort Lowell Rd, Tucson, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053801316
- Provider Enumeration Date: 05/12/2018
- Last Update Date: 11/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 2163771700
- Enrollment ID: I20180815002542
Medical Identifiers
Medical identifiers for Dr Chad Mosher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053801316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 14311 (Arizona) | Secondary |
103TC0700X | Psychologist - Clinical | 4959 (Arizona) | 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. Dr Chad Mosher allows following entities to bill medicare on his behalf.
Entity Name | Uhs Of Tucson Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700207651 PECOS PAC ID: 1456588144 Enrollment ID: O20140407002028 |
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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. Dr Chad Mosher 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 |
Dr Chad Mosher, 4646 E Fort Lowell Rd, Tucson, AZ 85712-1100 Ph: (520) 704-7056 | Dr Chad Mosher, 4646 E Fort Lowell Rd, Tucson, AZ 85712-1100 Ph: (520) 704-7056 |
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