Dr Brian Leopold Moore, PHD in Canoga Park, CA - Medicare Psychologist Provider

Dr Brian Leopold Moore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Canoga Park, California. His current practice location is 7621 Canoga Ave, Canoga Park, California. You can reach out to his office (for appointments etc.) via phone at (818) 642-1269.

Dr Brian Leopold Moore is licensed to practice in California (license number PSY13499) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518042753.

Contact Information

	Dr Brian Leopold Moore, PHD
	7621 Canoga Ave, Canoga Park, CA 91304-4912
	(818) 642-1269
	(818) 598-6937

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brian Leopold Moore
Gender	Male
Speciality	Psychologist - Clinical
Location	7621 Canoga Ave, Canoga Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518042753
Provider Enumeration Date: 10/26/2006
Last Update Date: 10/04/2012

Medicare PECOS Information:

PECOS PAC ID: 4082666888
Enrollment ID: I20050218000823

Medical Identifiers

Medical identifiers for Dr Brian Leopold Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518042753	NPI	-	NPPES
GD050Z	Other		PTAN
GD050Y	Other		PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY13499 (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. Dr Brian Leopold Moore allows following entities to bill medicare on his behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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. Dr Brian Leopold 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
Dr Brian Leopold Moore, PHD 7621 Canoga Ave, Canoga Park, CA 91304-4912 Ph: (818) 642-1269	Dr Brian Leopold Moore, PHD 7621 Canoga Ave, Canoga Park, CA 91304-4912 Ph: (818) 642-1269

Reviews and Comments

Psychologist in Canoga Park, CA

Eileen M. Maronde, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7621 Canoga Ave, Canoga Park, CA 91304 Phone: 818-598-6900
Dr. Shirin Sharifha, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 7621 Canoga Ave, Canoga Park, CA 91304 Phone: 818-598-6900 Fax: 818-598-6971
Kristen Kemp, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7246 Remmet Ave, Canoga Park, CA 91303 Phone: 707-616-1803
Lawrence H. Zaiden, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21201 Victory Blvd, Suite # 250, Canoga Park, CA 91303 Phone: 818-710-1245 Fax: 818-710-1246
Ronnie L Bunkley, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7246 Remmet Ave, Canoga Park, CA 91303 Phone: 818-206-0360
Dr. Christopher Geoffrey Craig, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Topanga Canyon Blvd, Apt. 318, Canoga Park, CA 91304 Phone: 818-710-1290 Fax: 818-710-1290

Dr Brian Leopold Moore, PHD - Medicare Psychologist in Canoga Park, CA