Jacqueline Colleen Moore, DPT in Lakewood, WA - Medicare Physical Therapist Provider

Jacqueline Colleen Moore, DPT is a medicare enrolled "Physical Therapist" provider in Lakewood, Washington. Her current practice location is 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 722-5511.

Jacqueline Colleen Moore is licensed to practice in Washington (license number PT61276823) 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 1619674751.

Contact Information

	Jacqueline Colleen Moore, DPT
	8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772
	(253) 722-5511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Colleen Moore
Gender	Female
Speciality	Physical Therapist
Location	8524 Steilacoom Blvd Sw Ste 201b, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619674751
Provider Enumeration Date: 02/09/2023
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7618342379
Enrollment ID: I20230411001069

Medical Identifiers

Medical identifiers for Jacqueline Colleen Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619674751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61276823 (Washington)	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. Jacqueline Colleen Moore allows following entities to bill medicare on her behalf.

Provider Name	North Harbor Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508874801 PECOS PAC ID: 5698795524 Enrollment ID: O20051206000912

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. Jacqueline Colleen 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
Jacqueline Colleen Moore, DPT Po Box 881360, Steilacoom, WA 98388-0410 Ph: (253) 722-5511	Jacqueline Colleen Moore, DPT 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772 Ph: (253) 722-5511

Reviews and Comments

Physical Therapist in Lakewood, WA

Joseph F Staeheli, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8107 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-584-6555 Fax: 253-584-6926
Samantha L. Gubka, DPT, OCS, CCCE Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7308 Bridgeport Way W, Suite 103, Lakewood, WA 98499 Phone: 253-582-8142 Fax: 253-582-8160
Jessica Estes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9315 Gravelly Lake Dr Sw, Suite 306, Lakewood, WA 98499 Phone: 253-581-5200 Fax: 253-581-5203
Brady Houbrick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10903 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-583-5230
Regina Y Lim-yu, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8524 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-722-5511
Kathleen Erin Hutchinson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-983-9395
Jane Dumas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9521 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-983-9395

Jacqueline Colleen Moore, DPT - Medicare Physical Therapist in Lakewood, WA