Dr Ellen Moore Boohar, PHD in Fayetteville, NC - Medicare Psychologist Provider

Dr Ellen Moore Boohar, PHD is a medicare enrolled "Psychologist" provider in Fayetteville, North Carolina. Her current practice location is 2521 Raeford Rd Ste C-3, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 661-3993.

Dr Ellen Moore Boohar is licensed to practice in North Carolina (license number 5714) 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 1619171162.

Contact Information

	Dr Ellen Moore Boohar, PHD
	2521 Raeford Rd Ste C-3, Fayetteville, NC 28305-5749
	(910) 661-3993
	(844) 522-0838

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ellen Moore Boohar
Gender	Female
Speciality	Psychologist
Location	2521 Raeford Rd Ste C-3, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619171162
Provider Enumeration Date: 06/11/2007
Last Update Date: 06/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4880093699
Enrollment ID: I20240313000216

Medical Identifiers

Medical identifiers for Dr Ellen Moore Boohar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619171162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1376 (Oklahoma)	Secondary
103T00000X	Psychologist	5714 (North Carolina)	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 Ellen Moore Boohar allows following entities to bill medicare on her behalf.

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20231103003439

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 Ellen Moore Boohar 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 Ellen Moore Boohar, PHD 823 Elm St Ste 234, Fayetteville, NC 28303-4172 Ph: (910) 661-3993	Dr Ellen Moore Boohar, PHD 2521 Raeford Rd Ste C-3, Fayetteville, NC 28305-5749 Ph: (910) 661-3993

Reviews and Comments

Psychologist in Fayetteville, NC

Dr. Mary Beth Barnes, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Ramsey St, Ms 116, Fayetteville, NC 28301 Phone: 910-488-2120 Fax: 910-822-7934
Theodore W. Lane, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1540 Purdue Dr Ste 200, Fayetteville, NC 28303 Phone: 910-867-8889 Fax: 910-487-3061
Jenna Herring, Psychologist Medicare: Medicare Enrolled Practice Location: 806 Hay St, Fayetteville, NC 28305 Phone: 910-860-7008 Fax: 910-221-9006
Dr. Tiffany Nicole Pless, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120
Miss Liandra Mercedis Wheeler, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2940 Breezewood Ave, Fayetteville, NC 28303 Phone: 910-827-6594 Fax: 910-827-6592
Dr. Paul J Dean, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 874 Long Iron Dr, Fayetteville, NC 28312 Phone: 910-960-7510
Mrs. Nicole O Collins, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5843 Waters Edge Dr, Fayetteville, NC 28314 Phone: 732-642-4412

Dr Ellen Moore Boohar, PHD - Medicare Psychologist in Fayetteville, NC