Mr Earl Thomas Moize, MA, MFT in Onalaska, WI - Medicare Marriage & Family Therapist Provider

Mr Earl Thomas Moize, MA, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Onalaska, Wisconsin. His current practice location is 571 Braund St, Onalaska, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 785-7000.

Mr Earl Thomas Moize is licensed to practice in Wisconsin (license number 746-228) 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 1578180840.

Contact Information

	Mr Earl Thomas Moize, MA, MFT
	571 Braund St, Onalaska, WI 54650-8556
	(608) 785-7000
	(608) 785-7477

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Earl Thomas Moize
Gender	Male
Speciality	Marriage & Family Therapist
Location	571 Braund St, Onalaska, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578180840
Provider Enumeration Date: 07/02/2020
Last Update Date: 07/02/2020

Medicare PECOS Information:

PECOS PAC ID: 2567809593
Enrollment ID: I20240326001441

Medical Identifiers

Medical identifiers for Mr Earl Thomas Moize such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578180840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	746-228 (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 Earl Thomas Moize allows following entities to bill medicare on his behalf.

Entity Name	Black River Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517

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 Earl Thomas Moize 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 Earl Thomas Moize, MA, MFT 571 Braund St, Onalaska, WI 54650-8556 Ph: (608) 785-7000	Mr Earl Thomas Moize, MA, MFT 571 Braund St, Onalaska, WI 54650-8556 Ph: (608) 785-7000

Reviews and Comments

Marriage & Family Therapist in Onalaska, WI

Donald A. Kube, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 571 Braund St, Onalaska, WI 54650 Phone: 608-785-7000 Fax: 608-785-7477
Alexa V Becherer, MS Couples Therapy Medicare: Medicare Enrolled Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 087-752-2876
Mrs. Kami Jo Lipps, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 575 Lester Ave Ste 100, Onalaska, WI 54650 Phone: 608-783-1452 Fax: 608-783-1456
Mrs. Rachelle Rae Guse, MASTERS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: N5589 Commerce Rd, Suite 170a, Onalaska, WI 54650 Phone: 507-474-0966
Ms. Susan Ann Mcdonald-conroy, MS, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 Mason St Ste 11, Onalaska, WI 54650 Phone: 608-769-1002
Joshua Lipps, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 575 Lester Ave Ste 100, Onalaska, WI 54650 Phone: 608-783-1452

Mr Earl Thomas Moize, MA, MFT - Medicare Couples Therapy in Onalaska, WI