Lucas E Moore, is a medicare enrolled "Social Worker - Clinical" provider in Madison, Wisconsin. His current practice location is
119 Martin Luther King Jr Blvd Ste Ll-22, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 473-3575.
Lucas E Moore is licensed to practice in Wisconsin (license number 8309-123) 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 1477837607.
Healthcare Provider's Profile
Full Name | Lucas E Moore |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 119 Martin Luther King Jr Blvd Ste Ll-22, Madison, Wisconsin |
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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: 1477837607
- Provider Enumeration Date: 10/06/2011
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436432606
- Enrollment ID: I20170214000355
Medical Identifiers
Medical identifiers for Lucas E Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477837607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 8309-123 (Wisconsin) | 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. Lucas E Moore allows following entities to bill medicare on his behalf.
Entity Name | New Beginnings Counseling Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386250561 PECOS PAC ID: 8325446420 Enrollment ID: O20211004002015 |
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Entity Name | Moore Psychotherapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871360115 PECOS PAC ID: 7113378282 Enrollment ID: O20240112003074 |
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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. Lucas E 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 |
Lucas E Moore, 119 Martin Luther King Jr Blvd Ste Ll-22, Madison, WI 53703-3355 Ph: (608) 473-3575 | Lucas E Moore, 119 Martin Luther King Jr Blvd Ste Ll-22, Madison, WI 53703-3355 Ph: (608) 473-3575 |
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