Dr Cooper Bufkin Moore, PSYD in Jackson, MS - Medicare Psychologist Provider

Dr Cooper Bufkin Moore, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Jackson, Mississippi. His current practice location is 1151 N State St Ste 212, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 352-7398.

Dr Cooper Bufkin Moore is licensed to practice in Mississippi (license number 44 715) 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 1710011150.

Contact Information

	Dr Cooper Bufkin Moore, PSYD
	1151 N State St Ste 212, Jackson, MS 39202-2467
	(601) 352-7398
	(601) 352-0442

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Cooper Bufkin Moore
Gender	Male
Speciality	Psychologist - Clinical
Location	1151 N State St Ste 212, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710011150
Provider Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8325579238
Enrollment ID: I20241002003973

Medical Identifiers

Medical identifiers for Dr Cooper Bufkin Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710011150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	44 715 (Mississippi)	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 Cooper Bufkin Moore allows following entities to bill medicare on his behalf.

Entity Name	Teton County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954

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 Cooper Bufkin 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 Cooper Bufkin Moore, PSYD 1151 N State St Ste 212, Jackson, MS 39202-2467 Ph: () -	Dr Cooper Bufkin Moore, PSYD 1151 N State St Ste 212, Jackson, MS 39202-2467 Ph: (601) 352-7398

Reviews and Comments

Psychologist in Jackson, MS

Dr. Elizabeth Nosen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471
Robert Adams, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 N State St, Ste 400, Jackson, MS 39202 Phone: 601-944-1717 Fax: 601-944-9780
Dr. Kevin Del Ben, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5888 Fax: 601-984-5842
Dr. Lashun A. Young, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471
Ann Atkinson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5345 Highway 18 W, Jackson, MS 39209 Phone: 601-927-0188
Dr. Matthew T. Tull, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Department Of Psychiatry, Jackson, MS 39216 Phone: 601-815-6518
Patricia Logan, PH.D Psychologist Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5863

Dr Cooper Bufkin Moore, PSYD - Medicare Psychologist in Jackson, MS