Dr Melody Moore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Las Cruces, New Mexico. Her current practice location is
1395 Missouri Ave, Las Cruces, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(832) 264-4454.
Dr Melody Moore is licensed to practice in Texas (license number 34928) 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 1184946360.
Healthcare Provider's Profile
| Full Name | Dr Melody Moore |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1395 Missouri Ave, Las Cruces, New Mexico |
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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: 1184946360
- Provider Enumeration Date: 02/16/2010
- Last Update Date: 07/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496903809
- Enrollment ID: I20120910000459
Medical Identifiers
Medical identifiers for Dr Melody Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184946360 | NPI | - | NPPES |
| 1T9043 | Other | NM | MEDICARE PTAN |
| 308 647 201 | Medicaid | TX | |
| 88575705 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 15121 (Texas) | Secondary |
| 103T00000X | Psychologist | PSY-RXC0083 (New Mexico) | Secondary |
| 103T00000X | Psychologist | 34928 (Texas) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 34928 (Texas) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSY-RXC0083 (New Mexico) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 34928 (Texas) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | PSY-RXC0083 (New Mexico) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 34928 (Texas) | Secondary |
| 103TS0200X | Psychologist - School | 34531 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 34928 (Texas) | 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 Melody Moore allows following entities to bill medicare on her behalf.
| Entity Name | Jones Comprehensive Assessment Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811242522
PECOS PAC ID: 2860640273
Enrollment ID: O20120910000443 |
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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 Melody 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 |
|---|
Dr Melody Moore, PHD
5445 Almeda Rd, Suite 407,
Houston, TX 77004-7434
Ph: (832) 264-4454 | Dr Melody Moore, PHD
1395 Missouri Ave,
Las Cruces, NM 88001-5327
Ph: (832) 264-4454 |
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