Lydia Moore, LGPC in Dundalk, MD - Medicare Counselor Provider

Lydia Moore, LGPC is a medicare enrolled "Counselor - Mental Health" provider in Dundalk, Maryland. Her current practice location is 1576 Merritt Blvd, Dundalk, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 530-6533.

Lydia Moore is licensed to practice in Maryland (license number LGP12785) 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 1033841291.

Contact Information

	Lydia Moore, LGPC
	1576 Merritt Blvd, Dundalk, MD 21222-2132
	(443) 530-6533
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lydia Moore
Gender	Female
Speciality	Counselor - Mental Health
Location	1576 Merritt Blvd, Dundalk, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033841291
Provider Enumeration Date: 06/27/2022
Last Update Date: 06/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6608314406
Enrollment ID: I20240812001834

Medical Identifiers

Medical identifiers for Lydia Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033841291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LGP12785 (Maryland)	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. Lydia Moore allows following entities to bill medicare on her behalf.

Entity Name	Advantage Psychiatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548742554 PECOS PAC ID: 2860732039 Enrollment ID: O20190326001310

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. Lydia 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
Lydia Moore, LGPC 109 N Union Ave Apt 6, Havre De Grace, MD 21078-3025 Ph: () -	Lydia Moore, LGPC 1576 Merritt Blvd, Dundalk, MD 21222-2132 Ph: (443) 530-6533

Reviews and Comments

Counselor in Dundalk, MD

Earl Wesley Ridgell Jr., MA, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7800 Wise Ave Ste 203, Dundalk, MD 21222 Phone: 410-999-4886
Danielle Strobeck, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7811 Wise Ave, Dundalk, MD 21222 Phone: 443-530-6533
Corrine Wilkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1576 Merritt Blvd Ste 8, Dundalk, MD 21222 Phone: 443-530-6533
Jessica Ferenz, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 Merritt Blvd Ste B, Dundalk, MD 21222 Phone: 410-698-8443
Shelby Kiah Walker, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 N Dundalk Ave, Dundalk, MD 21222 Phone: 667-600-3680
Ms. Stephanie Renee Finney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7811 Wise Ave, Dundalk, MD 21222 Phone: 443-530-6533

Lydia Moore, LGPC - Medicare Counselor in Dundalk, MD