Dr Edward Tindal Moon, PSY D in Philadelphia, PA - Medicare Psychologist Provider

Dr Edward Tindal Moon, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Philadelphia, Pennsylvania. His current practice location is 255 S 17th St, Suite 2301, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 659-0774.

Dr Edward Tindal Moon is licensed to practice in Pennsylvania (license number PS007695L) 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 1003824194.

Contact Information

	Dr Edward Tindal Moon, PSY D
	255 S 17th St, Suite 2301, Philadelphia, PA 19103-6231
	(610) 659-0774
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Edward Tindal Moon
Gender	Male
Speciality	Psychologist - Clinical
Location	255 S 17th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003824194
Provider Enumeration Date: 08/04/2006
Last Update Date: 12/06/2016

Medicare PECOS Information:

PECOS PAC ID: 5294961025
Enrollment ID: I20151029000452

Medical Identifiers

Medical identifiers for Dr Edward Tindal Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003824194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS007695L (Pennsylvania)	Primary

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 Edward Tindal Moon 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 Edward Tindal Moon, PSY D 255 S 17th St, Suite 2301, Philadelphia, PA 19103-6231 Ph: (610) 659-0774	Dr Edward Tindal Moon, PSY D 255 S 17th St, Suite 2301, Philadelphia, PA 19103-6231 Ph: (610) 659-0774

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Thomas A Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1735 Lombard St, Philadelphia, PA 19146 Phone: 215-732-3103 Fax: 215-732-8584
Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011
Dr. Melisa English Moore, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076

Dr Edward Tindal Moon, PSY D - Medicare Psychologist in Philadelphia, PA