Dr Steven Paul Moore, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Syracuse, New York. His current practice location is
120 E Washington St Ste 721, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 730-3390.
Dr Steven Paul Moore is licensed to practice in New York (license number 022100) 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 1154603793.
Healthcare Provider's Profile
| Full Name | Dr Steven Paul Moore |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 120 E Washington St Ste 721, Syracuse, New York |
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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: 1154603793
- Provider Enumeration Date: 09/09/2011
- Last Update Date: 09/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4981011848
- Enrollment ID: I20210322002063
Medical Identifiers
Medical identifiers for Dr Steven Paul Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154603793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 022100 (New York) | 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 Steven Paul Moore allows following entities to bill medicare on his behalf.
| Entity Name | Psychiatry Faculty Practice, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881084820
PECOS PAC ID: 9234458530
Enrollment ID: O20150508000699 |
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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 Steven Paul 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 |
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Dr Steven Paul Moore, PSYD
112 Thomas Rd,
Syracuse, NY 13214-2350
Ph: (315) 730-3390 | Dr Steven Paul Moore, PSYD
120 E Washington St Ste 721,
Syracuse, NY 13202-4096
Ph: (315) 730-3390 |
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