Mr Tony Curtis Moore, CADC,CCS in Kenosha, WI

Mr Tony Curtis Moore, CADC,CCS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Kenosha, Wisconsin. His current practice location is 6723 17th Ave, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 605-8442.

Mr Tony Curtis Moore is licensed to practice in Wisconsin (license number 13313-135) 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 1689840332.

Contact Information

	Mr Tony Curtis Moore, CADC,CCS
	6723 17th Ave, Kenosha, WI 53143-4914
	(262) 605-8442
	(262) 605-8460

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Tony Curtis Moore
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	6723 17th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689840332
Provider Enumeration Date: 05/02/2008
Last Update Date: 05/02/2008

Medicare PECOS Information:

PECOS PAC ID: 6800262080
Enrollment ID: I20240712000029

Medical Identifiers

Medical identifiers for Mr Tony Curtis Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689840332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	10820-132 (Wisconsin)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	13313-135 (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. Mr Tony Curtis Moore allows following entities to bill medicare on his behalf.

Entity Name	Moore & Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649443136 PECOS PAC ID: 0446626626 Enrollment ID: O20221012002504

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. Mr Tony Curtis 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
Mr Tony Curtis Moore, CADC,CCS 6723 17th Ave, Kenosha, WI 53143-4914 Ph: (262) 605-8442	Mr Tony Curtis Moore, CADC,CCS 6723 17th Ave, Kenosha, WI 53143-4914 Ph: (262) 605-8442

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Medicare Enrolled Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Stephanie L Mayberry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-654-8366 Fax: 262-842-0444
Jami Lynn Pomeroy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Aislynn Nall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-864-1141 Fax: 262-351-0132
Kathleen M Bullard, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4003 80th St Ste 101, Kenosha, WI 53142 Phone: 262-806-1467 Fax: 262-661-7702
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Mr Tony Curtis Moore, CADC,CCS - Medicare Counselor in Kenosha, WI