Anne A Gephart Moore, PSY D in Elk Grove Village, IL

Anne A Gephart Moore, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Elk Grove Village, Illinois. Her current practice location is 1940 Nerge Rd, Elk Grove Village, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 333-7750.

Anne A Gephart Moore is licensed to practice in Illinois (license number 071005936) 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 1780686857.

Contact Information

	Anne A Gephart Moore, PSY D
	1940 Nerge Rd, Elk Grove Village, IL 60007-2972
	(847) 333-7750
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anne A Gephart Moore
Gender	Female
Speciality	Psychologist - Clinical
Location	1940 Nerge Rd, Elk Grove Village, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780686857
Provider Enumeration Date: 08/10/2005
Last Update Date: 12/15/2016

Medicare PECOS Information:

PECOS PAC ID: 5698847168
Enrollment ID: I20080630000071

Medical Identifiers

Medical identifiers for Anne A Gephart Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780686857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071005936 (Illinois)	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. Anne A Gephart Moore allows following entities to bill medicare on her behalf.

Entity Name	Vitae Health Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838

Entity Name	Deer Oaks Mid West Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974

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. Anne A Gephart 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
Anne A Gephart Moore, PSY D 1940 Nerge Rd, Elk Grove Village, IL 60007-2972 Ph: (847) 333-7750	Anne A Gephart Moore, PSY D 1940 Nerge Rd, Elk Grove Village, IL 60007-2972 Ph: (847) 333-7750

Reviews and Comments

Psychologist in Elk Grove Village, IL

Cynthia Chavez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800
Laura Ehas, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 Clearmont Dr, Elk Grove Village, IL 60007 Phone: 847-754-1093
Samantha Mizock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800
Susan Lesher, PH.D., M.ED. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd, Suite 610, Elk Grove Village, IL 60007 Phone: 847-981-3630
Clifford A Massie, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Suite 510, Elk Grove Village, IL 60007 Phone: 847-981-3660 Fax: 847-956-5108
Mindy Stutzman Moore, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1920 Nerge Rd, Elk Grove Village, IL 60007 Phone: 954-835-2835
Mariah Vinson, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800

Anne A Gephart Moore, PSY D - Medicare Psychologist in Elk Grove Village, IL