Colleen Carroll Moran, MD is a medicare enrolled "Pediatrics" physician in Morrisville, Vermont. Her current practice location is
609 Washington Hwy, Morrisville, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 888-7337.
Colleen Carroll Moran is licensed to practice in Vermont (license number 042.0013734) 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 1336414465.
Physician's Profile
Full Name | Colleen Carroll Moran |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 609 Washington Hwy, Morrisville, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336414465
- Provider Enumeration Date: 03/22/2012
- Last Update Date: 07/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123334620
- Enrollment ID: I20190104001442
Medical Identifiers
Medical identifiers for Colleen Carroll Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336414465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 042.0013734 (Vermont) | Primary |
208000000X | Pediatrics | 4301108426 (Michigan) | 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. Colleen Carroll Moran allows following entities to bill medicare on her behalf.
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
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Entity Name | Northwestern Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538293469 PECOS PAC ID: 5496714313 Enrollment ID: O20081114000535 |
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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. Colleen Carroll Moran 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 |
Colleen Carroll Moran, MD 1500 E Medical Center Dr, Mpb D1205, Ann Arbor, MI 48109-5000 Ph: (734) 764-5175 | Colleen Carroll Moran, MD 609 Washington Hwy, Morrisville, VT 05661-8652 Ph: (802) 888-7337 |
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