Tiffany Ashley Moore, OTR/L in Gardena, CA - Medicare Occupational Therapist Provider

Tiffany Ashley Moore, OTR/L is a medicare enrolled "Occupational Therapist" provider in Gardena, California. Her current practice location is 1145 W Redondo Beach Blvd, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 532-4200.

Tiffany Ashley Moore is licensed to practice in California (license number 21728) 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 1033872072.

Contact Information

	Tiffany Ashley Moore, OTR/L
	1145 W Redondo Beach Blvd, Gardena, CA 90247-3511
	(310) 532-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Ashley Moore
Gender	Female
Speciality	Occupational Therapist
Location	1145 W Redondo Beach Blvd, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033872072
Provider Enumeration Date: 10/18/2021
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9638619166
Enrollment ID: I20240910004599

Medical Identifiers

Medical identifiers for Tiffany Ashley Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033872072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	21728 (California)	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. Tiffany Ashley Moore allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Tiffany Ashley 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
Tiffany Ashley Moore, OTR/L 1640 Malcolm Ave, Los Angeles, CA 90024-5787 Ph: () -	Tiffany Ashley Moore, OTR/L 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 Ph: (310) 532-4200

Reviews and Comments

Occupational Therapist in Gardena, CA

Justin A Parnell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020
Gerard Del Rosario, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1045 W Redondo Beach Blvd Ste 130, Gardena, CA 90247 Phone: 310-329-1444
Michelle C. Kornet, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Easterseals, 1411 W 190th St Ste 110, Gardena, CA 90248 Phone: 845-803-5118
John Resurreccion, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15331 Jasmine Ln Unit 106, Gardena, CA 90249 Phone: 562-857-4671
Dr. Heidi Elizabeth Tenpas, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020
Axel Sta Maria, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 879 W 190th St Ste 300, Gardena, CA 90248 Phone: 310-323-6887

Tiffany Ashley Moore, OTR/L - Medicare Occupational Therapist in Gardena, CA