Dr Leland Darrell Mosby, EDD is a medicare enrolled "Psychologist - Clinical" provider in Cherry Hill, New Jersey. His current practice location is
102 Browning Ln, Bldg C, Suite 5, Cherry Hill, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 857-0881.
Dr Leland Darrell Mosby is licensed to practice in New Jersey (license number SI3313) 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 1366505828.
Healthcare Provider's Profile
| Full Name | Dr Leland Darrell Mosby |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 102 Browning Ln, Cherry Hill, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366505828
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638141617
- Enrollment ID: I20040810001002
Medical Identifiers
Medical identifiers for Dr Leland Darrell Mosby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366505828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | PC-0000555 (Delaware) | Secondary |
| 103TF0200X | Psychologist - Forensic | SI3313 (New Jersey) | Secondary |
| 103TC0700X | Psychologist - Clinical | SI3313 (New Jersey) | 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 Leland Darrell Mosby allows following entities to bill medicare on his behalf.
| Entity Name | Lifepsych Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720188014
PECOS PAC ID: 5395717375
Enrollment ID: O20040810000942 |
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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 Leland Darrell Mosby 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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Dr Leland Darrell Mosby, EDD
102 Browning Ln, Bldg C, Suite 5,
Cherry Hill, NJ 08003-3195
Ph: (856) 857-0881 | Dr Leland Darrell Mosby, EDD
102 Browning Ln, Bldg C, Suite 5,
Cherry Hill, NJ 08003-3195
Ph: (856) 857-0881 |
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