Dr Leo Mora Jr, PHD, LMFT-S is a medicare enrolled "Marriage & Family Therapist" provider in Killeen, Texas. His current practice location is
2403 Bacon Ranch Rd Ste 300, Killeen, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 791-5614.
Dr Leo Mora Jr is licensed to practice in Texas (license number 202561) 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 1750745055.
Healthcare Provider's Profile
| Full Name | Dr Leo Mora Jr |
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| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 2403 Bacon Ranch Rd Ste 300, Killeen, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750745055
- Provider Enumeration Date: 04/12/2016
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456799758
- Enrollment ID: I20240405001023
Medical Identifiers
Medical identifiers for Dr Leo Mora Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750745055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TB0200X | Psychologist - Cognitive & Behavioral | 202561 (Texas) | Secondary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 202561 (Texas) | 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 Leo Mora Jr allows following entities to bill medicare on his behalf.
| Entity Name | Leo Mora Therapy Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750935391
PECOS PAC ID: 8628416922
Enrollment ID: O20240405001039 |
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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 Leo Mora 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 Leo Mora Jr, PHD, LMFT-S
2403 Bacon Ranch Rd Ste 300,
Killeen, TX 76542-3380
Ph: (254) 654-5872 | Dr Leo Mora Jr, PHD, LMFT-S
2403 Bacon Ranch Rd Ste 300,
Killeen, TX 76542-3380
Ph: (254) 791-5614 |
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