Jaclyn Mouras, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Waynesboro, Virginia. Her current practice location is
27 Stoneridge Dr Ste A01, Waynesboro, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 221-1846.
Jaclyn Mouras is licensed to practice in Virginia (license number 0810007904) 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 1639805708.
Healthcare Provider's Profile
Full Name | Jaclyn Mouras |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 27 Stoneridge Dr Ste A01, Waynesboro, Virginia |
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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: 1639805708
- Provider Enumeration Date: 07/29/2022
- Last Update Date: 08/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113302613
- Enrollment ID: I20220920001984
Medical Identifiers
Medical identifiers for Jaclyn Mouras such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639805708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 0810007904 (Virginia) | Secondary |
103G00000X | Clinical Neuropsychologist | 0810007904 (Virginia) | 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. Jaclyn Mouras allows following entities to bill medicare on her behalf.
Entity Name | Jaclyn Mouras Psyd Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467173971 PECOS PAC ID: 2163807652 Enrollment ID: O20220920001692 |
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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. Jaclyn Mouras 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 |
Jaclyn Mouras, PSYD 81 Broad St, Harrisonburg, VA 22802-4119 Ph: () - | Jaclyn Mouras, PSYD 27 Stoneridge Dr Ste A01, Waynesboro, VA 22980-6583 Ph: (540) 221-1846 |
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