Marissa Moore, LMHCA in Tukwila, WA - Medicare Counselor Provider

Marissa Moore, LMHCA is a medicare enrolled "Counselor - Mental Health" provider in Tukwila, Washington. Her current practice location is 15455 65th Ave S, Tukwila, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 721-5170.

Marissa Moore is licensed to practice in Washington (license number MC60390441) 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 1750703898.

Contact Information

	Marissa Moore, LMHCA
	15455 65th Ave S, Tukwila, WA 98188-2534
	(206) 721-5170
	(206) 721-6288

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Moore
Gender	Female
Speciality	Counselor - Mental Health
Location	15455 65th Ave S, Tukwila, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750703898
Provider Enumeration Date: 01/08/2014
Last Update Date: 02/05/2014

Medicare PECOS Information:

PECOS PAC ID: 2961851126
Enrollment ID: I20231213001342

Medical Identifiers

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

Identifier	Type	State	Issuer
1750703898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MC60390441 (Washington)	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. Marissa Moore allows following entities to bill medicare on her behalf.

Entity Name	Cowlitz Indian Tribe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740562909 PECOS PAC ID: 8820030133 Enrollment ID: O20050526000589

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. Marissa 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
Marissa Moore, LMHCA Po Box 2429, Longview, WA 98632-8486 Ph: (206) 466-5013	Marissa Moore, LMHCA 15455 65th Ave S, Tukwila, WA 98188-2534 Ph: (206) 721-5170

Reviews and Comments

Counselor in Tukwila, WA

Sonja Kelsay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 Southcenter Blvd, Sound Mental Health, Tukwila, WA 98188 Phone: 206-444-7800
Brandon Leviton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-444-7800 Fax: 206-444-7810
Sierra Wollen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-444-3600 Fax: 206-444-3610
Allison Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3438 S 148th St, Tukwila, WA 98168 Phone: 206-948-0096
Alexandra Dean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-901-2000
Katherine Aileen Crow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13925 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-948-0096
Abigail Lindsay, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13955 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-948-0096

Marissa Moore, LMHCA - Medicare Counselor in Tukwila, WA