Tracey Moulton, LMHC in Miami Lakes, FL - Medicare Counselor Provider

Tracey Moulton, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Miami Lakes, Florida. Her current practice location is 14645 Nw 77th Ave Ste 101, Miami Lakes, Florida. You can reach out to her office (for appointments etc.) via phone at (833) 769-3524.

Tracey Moulton is licensed to practice in Florida (license number MH23302) 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 1043876758.

Contact Information

	Tracey Moulton, LMHC
	14645 Nw 77th Ave Ste 101, Miami Lakes, FL 33014-2569
	(833) 769-3524
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey Moulton
Gender	Female
Speciality	Counselor - Mental Health
Location	14645 Nw 77th Ave Ste 101, Miami Lakes, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043876758
Provider Enumeration Date: 05/17/2019
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 9739525510
Enrollment ID: I20240314004267

Medical Identifiers

Medical identifiers for Tracey Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043876758	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH23302 (Florida)	Primary
106S00000X	Behavior Technician	19-76571 (* (Not Available))	Secondary

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. Tracey Moulton allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590

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. Tracey Moulton 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
Tracey Moulton, LMHC 650 W Grand Ave Ste 207, Elmhurst, IL 60126-1025 Ph: (844) 263-1613	Tracey Moulton, LMHC 14645 Nw 77th Ave Ste 101, Miami Lakes, FL 33014-2569 Ph: (833) 769-3524

Reviews and Comments

Counselor in Miami Lakes, FL

Michelle T Reichard, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 14400 Nw 77th Ct Ste 100, Miami Lakes, FL 33016 Phone: 786-916-6073 Fax: 786-657-3092
Yuliet E Escandon, MMH, MED. MPN, RBT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6600 Cow Pen Rd, Miami Lakes, FL 33014 Phone: 954-329-9791
Ms. Anna Rondon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6600 Cow Pen Rd Ste 250, Miami Lakes, FL 33014 Phone: 786-512-1001
Monica Vega, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6447 Miami Lakes Dr, Miami Lakes, FL 33014 Phone: 305-310-2838
Ms. Rosa Barroso, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8004 Nw 154th St # 418, Miami Lakes, FL 33016 Phone: 305-530-8119
Eliezer Espaillet, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5881 Nw 151st St, Suite 105, Miami Lakes, FL 33014 Phone: 786-333-7856

Tracey Moulton, LMHC - Medicare Counselor in Miami Lakes, FL