Brittney Moore, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Quincy, Illinois. Her current practice location is
927 Broadway St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 224-4453.
Brittney Moore is licensed to practice in Illinois (license number 071010780) 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 1467094839.
Healthcare Provider's Profile
Full Name | Brittney Moore |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 927 Broadway St, Quincy, Illinois |
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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: 1467094839
- Provider Enumeration Date: 10/17/2019
- Last Update Date: 10/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082016076
- Enrollment ID: I20220817001065
Medical Identifiers
Medical identifiers for Brittney Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467094839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP6453 (Minnesota) | Secondary |
103G00000X | Clinical Neuropsychologist | 071010780 (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. Brittney Moore allows following entities to bill medicare on her behalf.
Entity Name | Blessing Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
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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. Brittney 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 |
Brittney Moore, PHD 2400 W 64th St, Richfield, MN 55423-1001 Ph: () - | Brittney Moore, PHD 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 224-4453 |
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