Dr Dawn Marie Mcdaniel Moeller, PHD is a medicare enrolled "Psychologist - Clinical" provider in South Park, Pennsylvania. Her current practice location is
2957 Ridge Rd, South Park, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(412) 913-6109.
Dr Dawn Marie Mcdaniel Moeller is licensed to practice in Pennsylvania (license number PS006287L) 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 1679208474.
Healthcare Provider's Profile
Full Name | Dr Dawn Marie Mcdaniel Moeller |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2957 Ridge Rd, South Park, Pennsylvania |
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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: 1679208474
- Provider Enumeration Date: 07/18/2022
- Last Update Date: 07/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204211162
- Enrollment ID: I20220914001231
Medical Identifiers
Medical identifiers for Dr Dawn Marie Mcdaniel Moeller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679208474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PS006287L (Pennsylvania) | 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 Dawn Marie Mcdaniel Moeller allows following entities to bill medicare on her behalf.
Entity Name | Dawn Marie Friend Psy D Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851733810 PECOS PAC ID: 6608010269 Enrollment ID: O20130920000454 |
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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. Dr Dawn Marie Mcdaniel Moeller 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 Dawn Marie Mcdaniel Moeller, PHD 1952 Hertford Dr, South Park, PA 15129-8961 Ph: (412) 913-8207 | Dr Dawn Marie Mcdaniel Moeller, PHD 2957 Ridge Rd, South Park, PA 15129-8824 Ph: (412) 913-6109 |
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