Diane A Moore, PHD in Emeryville, CA - Medicare Psychologist Provider

Diane A Moore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Emeryville, California. Her current practice location is 5900 Hollis St Ste J, Emeryville, California. You can reach out to her office (for appointments etc.) via phone at (501) 648-9496.

Diane A Moore is licensed to practice in California (license number PSY9439) 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 1952096489.

Contact Information

	Diane A Moore, PHD
	5900 Hollis St Ste J, Emeryville, CA 94608-2008
	(501) 648-9496
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diane A Moore
Gender	Female
Speciality	Psychologist - Clinical
Location	5900 Hollis St Ste J, Emeryville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952096489
Provider Enumeration Date: 04/10/2023
Last Update Date: 04/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0042673949
Enrollment ID: I20230824003667

Medical Identifiers

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

Identifier	Type	State	Issuer
1952096489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY9439 (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. Diane A Moore allows following entities to bill medicare on her behalf.

Entity Name	Holistic Hyperbarics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811608391 PECOS PAC ID: 8426410929 Enrollment ID: O20230816000144

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. Diane A 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
Diane A Moore, PHD 5900 Hollis St Ste J, Emeryville, CA 94608-2008 Ph: () -	Diane A Moore, PHD 5900 Hollis St Ste J, Emeryville, CA 94608-2008 Ph: (501) 648-9496

Reviews and Comments

Psychologist in Emeryville, CA

Dr. Sohyila Davani, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1585 62nd St # 8374, Emeryville, CA 94608 Phone: 510-830-6700
Lyudmila Kuznetsova, Psychologist Medicare: Medicare Enrolled Practice Location: 1335 Stanford Ave, Emeryville, CA 94608 Phone: 415-806-8179
Ms. Lorie Elizabeth Hill, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Anchor Dr, #290, Emeryville, CA 94608 Phone: 510-653-3565
Heather D Helmke, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1480 64th St Ste 150, Emeryville, CA 94608 Phone: 925-282-1778 Fax: 415-296-5299
Cyrano Patton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1475 66th St Ste 104, Emeryville, CA 94608 Phone: 510-516-4429
Dr. Linda James Myers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Admiral Dr # B386, Emeryville, CA 94608 Phone: 510-601-1789 Fax: 415-865-2636
Dr. Philip Martin Takakjian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1480 64th St Ste 150, Emeryville, CA 94608 Phone: 415-296-5290 Fax: 415-296-5299

Diane A Moore, PHD - Medicare Psychologist in Emeryville, CA