Mindy Stutzman Moore, PHD in Elk Grove Village, IL - Medicare Clinical Psychologist Provider

Mindy Stutzman Moore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Elk Grove Village, Illinois. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Illinois Post-acute Medical Services 1 Pc and her current practice location is 1920 Nerge Rd, Elk Grove Village, Illinois. You can reach out to her office (for appointments etc.) via phone at (954) 835-2835.

Mindy Stutzman Moore is licensed to practice in Illinois (license number 071009756) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356744593.

Contact Information

	Mindy Stutzman Moore, PHD
	1920 Nerge Rd, Elk Grove Village, IL 60007-2972
	(954) 835-2835
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mindy Stutzman Moore
Gender	Female
Speciality	Clinical Psychologist
Experience	10 Years
Location	1920 Nerge Rd, Elk Grove Village, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mindy Stutzman Moore graduated from medical school in 2014

NPI Data:

NPI Number: 1356744593
Provider Enumeration Date: 10/02/2014
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6103180450
Enrollment ID: I20180514001614

Medical Identifiers

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

Identifier	Type	State	Issuer
1356744593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071009756 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Illinois Post-acute Medical Services 1 Pc	6305112103	15

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. Mindy Stutzman Moore allows following entities to bill medicare on her behalf.

Entity Name	Illinois Post-acute Medical Services 1 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952830853 PECOS PAC ID: 6305112103 Enrollment ID: O20171023002483

Entity Name	Nv Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210804000886

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. Mindy Stutzman 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
Mindy Stutzman Moore, PHD 1235a N Clybourn Ave Ste 210, Chicago, IL 60610-1707 Ph: () -	Mindy Stutzman Moore, PHD 1920 Nerge Rd, Elk Grove Village, IL 60007-2972 Ph: (954) 835-2835

Reviews and Comments

Psychologist in Elk Grove Village, IL

Cynthia Chavez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800
Laura Ehas, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 Clearmont Dr, Elk Grove Village, IL 60007 Phone: 847-754-1093
Samantha Mizock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800
Susan Lesher, PH.D., M.ED. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd, Suite 610, Elk Grove Village, IL 60007 Phone: 847-981-3630
Clifford A Massie, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Suite 510, Elk Grove Village, IL 60007 Phone: 847-981-3660 Fax: 847-956-5108
Mariah Vinson, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800

Mindy Stutzman Moore, PHD - Medicare Psychologist in Elk Grove Village, IL