Justin Anthony Moore, in Northfield, IL - Medicare Psychologist Provider

Justin Anthony Moore, is a medicare enrolled "Psychologist" provider in Northfield, Illinois. His current practice location is 400 Central Ave Ste 220, Northfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 996-9994.

Justin Anthony Moore is licensed to practice in Wisconsin (license number 3606-57) 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 1487005393.

Contact Information

	Justin Anthony Moore,
	400 Central Ave Ste 220, Northfield, IL 60093-3024
	(847) 996-9994
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Anthony Moore
Gender	Male
Speciality	Psychologist
Location	400 Central Ave Ste 220, Northfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487005393
Provider Enumeration Date: 06/22/2016
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1052664000
Enrollment ID: I20231211003091

Medical Identifiers

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

Identifier	Type	State	Issuer
1487005393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3606-57 (Wisconsin)	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. Justin Anthony Moore allows following entities to bill medicare on his behalf.

Entity Name	Unify Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942899646 PECOS PAC ID: 2264831312 Enrollment ID: O20210524000820

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. Justin Anthony 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
Justin Anthony Moore, 1189 Wilmette Ave Ste 263, Wilmette, IL 60091-2719 Ph: (224) 216-4443	Justin Anthony Moore, 400 Central Ave Ste 220, Northfield, IL 60093-3024 Ph: (847) 996-9994

Reviews and Comments

Psychologist in Northfield, IL

Mr. Michael Jason Gladstein, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1780 Maple St Ste 1, Northfield, IL 60093 Phone: 847-644-8005
Dr. Anne Hatcher Berenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 540 W Frontage Rd, Suite 2135, Northfield, IL 60093 Phone: 847-784-9005
Victoria V Lavigne, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 778 W Frontage Rd, Suite 123, Northfield, IL 60093 Phone: 847-446-7184 Fax: 847-446-7185
Dr. Joseph W. Byrne, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 456 W Frontage Rd Ste 232, Northfield, IL 60093 Phone: 847-644-1210
Dr. Elizabeth Kathryn Hossfeld, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 191 Waukegan Rd Ste 208, Northfield, IL 60093 Phone: 847-329-9210 Fax: 773-347-2656
Dr. Elizabeth F. Feldman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 778 W Frontage Rd, Suite 115, Northfield, IL 60093 Phone: 847-501-3620
Dr. Shawn Daugherty, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 456 Central Avenue, 201, Northfield, IL 60093 Phone: 773-852-9869

Justin Anthony Moore, - Medicare Psychologist in Northfield, IL