Kathryn Elaine Moore, PHD in Midwest City, OK - Medicare Psychologist Provider

Kathryn Elaine Moore, PHD is a medicare enrolled "Psychologist - School" provider in Midwest City, Oklahoma. Her current practice location is 1212 S Air Depot Blvd Ste 17, Midwest City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 355-6868.

Kathryn Elaine Moore is licensed to practice in Oklahoma (license number ) 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 1730614660.

Contact Information

	Kathryn Elaine Moore, PHD
	1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860
	(405) 355-6868
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn Elaine Moore
Gender	Female
Speciality	Psychologist - School
Location	1212 S Air Depot Blvd Ste 17, Midwest City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730614660
Provider Enumeration Date: 04/28/2017
Last Update Date: 04/28/2017

Medicare PECOS Information:

PECOS PAC ID: 8325461023
Enrollment ID: I20200714002342

Medical Identifiers

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

Identifier	Type	State	Issuer
1730614660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	(Oklahoma)	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. Kathryn Elaine Moore allows following entities to bill medicare on her behalf.

Entity Name	Board Of Regents Of The University Of Oklahoma - Ou Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607

Entity Name	Ou Health Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618

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. Kathryn Elaine 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
Kathryn Elaine Moore, PHD 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 Ph: (405) 355-6868	Kathryn Elaine Moore, PHD 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 Ph: (405) 355-6868

Reviews and Comments

Psychologist in Midwest City, OK

Lucretia Austin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1220 Lauren Ln, Midwest City, OK 73110 Phone: 405-361-6600
Thomas Collins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 W Michael Dr, Midwest City, OK 73110 Phone: 601-720-3402
Laura Lochner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 N Air Depot Blvd, Midwest City, OK 73110 Phone: 405-733-9516 Fax: 405-733-8853
Mr. Shawn Edward Ray, CMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7835 Ne 10th St Apt 256, Midwest City, OK 73110 Phone: 405-313-7599

Kathryn Elaine Moore, PHD - Medicare Psychologist in Midwest City, OK