Dr Charles N Moore Jr, DMIN in Essex, MA - Medicare Psychologist Provider

Dr Charles N Moore Jr, DMIN is a medicare enrolled "Psychologist" provider in Essex, Massachusetts. His current practice location is 23 Spring St, Essex, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 884-8641.

Dr Charles N Moore Jr is licensed to practice in Massachusetts (license number 2097) 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 1104988500.

Contact Information

	Dr Charles N Moore Jr, DMIN
	23 Spring St, Essex, MA 01929-1311
	(978) 884-8641
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Charles N Moore Jr
Gender	Male
Speciality	Psychologist
Location	23 Spring St, Essex, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104988500
Provider Enumeration Date: 12/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022456326
Enrollment ID: I20240405000883

Medical Identifiers

Medical identifiers for Dr Charles N Moore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104988500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2097 (Massachusetts)	Primary
103TF0000X	Psychologist - Family	2097 (Massachusetts)	Primary
103TF0200X	Psychologist - Forensic	2097 (Massachusetts)	Primary
103T00000X	Psychologist	2097 (Massachusetts)	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 Charles N Moore Jr allows following entities to bill medicare on his behalf.

Entity Name	Supportive Behavioral Care Of Ma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877

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 Charles N Moore Jr 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 Charles N Moore Jr, DMIN 23 Spring St, Essex, MA 01929-1311 Ph: (978) 884-8641	Dr Charles N Moore Jr, DMIN 23 Spring St, Essex, MA 01929-1311 Ph: (978) 884-8641

Reviews and Comments

Psychologist in Essex, MA

Dr. James A. Manganiello, EDD. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 33 Conomo Point Rd, Essex, MA 01929 Phone: 978-979-4480 Fax: 978-768-2589
Dr. Shayda Majidi-ahi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 144 Main St, Unit 5, Essex, MA 01929 Phone: 978-768-7609 Fax: 978-468-6555
Debra Welling, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 Story St, Essex, MA 01929 Phone: 978-768-7324

Dr Charles N Moore Jr, DMIN - Medicare Psychologist in Essex, MA