Jared Moore, PSYD in Philadelphia, PA - Medicare Psychologist Provider

Jared Moore, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Philadelphia, Pennsylvania. His current practice location is 4701 Pine St, Apt. B13, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (201) 310-6508.

Jared Moore is licensed to practice in Pennsylvania (license number PS017735) 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 1679971865.

Contact Information

	Jared Moore, PSYD
	4701 Pine St, Apt. B13, Philadelphia, PA 19143-1816
	(201) 310-6508
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jared Moore
Gender	Male
Speciality	Psychologist - Clinical
Location	4701 Pine 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: 1679971865
Provider Enumeration Date: 12/20/2014
Last Update Date: 06/20/2018

Medicare PECOS Information:

PECOS PAC ID: 2860708070
Enrollment ID: I20150902003180

Medical Identifiers

Medical identifiers for Jared Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679971865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS017735 (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. Jared Moore allows following entities to bill medicare on his behalf.

Entity Name	Pennsylvania Department Of Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447233317 PECOS PAC ID: 0547168064 Enrollment ID: O20040527000932

Entity Name	Elders Counseling Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073545679 PECOS PAC ID: 6204120983 Enrollment ID: O20160803000470

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. Jared Moore 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
Jared Moore, PSYD 4742 Pine St, Apt 402, Philadelphia, PA 19143-1968 Ph: (201) 310-6508	Jared Moore, PSYD 4701 Pine St, Apt. B13, Philadelphia, PA 19143-1816 Ph: (201) 310-6508

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

Jared Moore, PSYD - Medicare Psychologist in Philadelphia, PA