Elise Miranda Princehouse Moore, DPT in Silverton, OR - Medicare Physical Therapist Provider

Elise Miranda Princehouse Moore, DPT is a medicare enrolled "Physical Therapist" provider in Silverton, Oregon. Her current practice location is 602a Front St, Silverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 874-4416.

Elise Miranda Princehouse Moore is licensed to practice in Oregon (license number 63267) 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 1235796293.

Contact Information

	Elise Miranda Princehouse Moore, DPT
	602a Front St, Silverton, OR 97381-1428
	(503) 874-4416
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elise Miranda Princehouse Moore
Gender	Female
Speciality	Physical Therapist
Location	602a Front St, Silverton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235796293
Provider Enumeration Date: 05/24/2019
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 5092183962
Enrollment ID: I20221128000123

Medical Identifiers

Medical identifiers for Elise Miranda Princehouse Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235796293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	63267 (Oregon)	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. Elise Miranda Princehouse Moore allows following entities to bill medicare on her behalf.

Provider Name	Promotion Advanced Functional Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710932710 PECOS PAC ID: 1759391394 Enrollment ID: O20060427000203

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. Elise Miranda Princehouse 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
Elise Miranda Princehouse Moore, DPT 601 N 1st Ave, Stayton, OR 97383-1704 Ph: (503) 769-3123	Elise Miranda Princehouse Moore, DPT 602a Front St, Silverton, OR 97381-1428 Ph: (503) 874-4416

Reviews and Comments

Physical Therapist in Silverton, OR

Mrs. Leah Peldyak Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 W C St, Silverton, OR 97381 Phone: 503-873-6111 Fax: 503-873-6113
Casandra L Hart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 240 Phelps St, Silverton, OR 97381 Phone: 503-873-1647
Michael Lane Nored, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 W C St, Silverton, OR 97381 Phone: 503-873-6111 Fax: 503-873-6113
Silverton Mt Angel Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 West C St, Silverton, OR 97381 Phone: 503-873-6111 Fax: 503-873-6113
Peter E Heuberger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-371-8860 Fax: 503-371-8772
Jewel Derin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 W C St, Silverton, OR 97381 Phone: 503-873-6111 Fax: 503-873-6113

Elise Miranda Princehouse Moore, DPT - Medicare Physical Therapist in Silverton, OR