Ms Mariele Ann Moore, PHD in Los Osos, CA - Medicare Clinical Psychologist Provider

Ms Mariele Ann Moore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Osos, California. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Total Life Ca Pc and her current practice location is 1416 Las Encinas Dr, Los Osos, California. You can reach out to her office (for appointments etc.) via phone at (805) 528-3782.

Ms Mariele Ann Moore is licensed to practice in California (license number PSY11506) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1144358631.

Contact Information

	Ms Mariele Ann Moore, PHD
	1416 Las Encinas Dr, Los Osos, CA 93402-4502
	(805) 528-3782
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mariele Ann Moore
Gender	Female
Speciality	Clinical Psychologist
Experience	39 Years
Location	1416 Las Encinas Dr, Los Osos, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Mariele Ann Moore graduated from medical school in 1985

NPI Data:

NPI Number: 1144358631
Provider Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1557554516
Enrollment ID: I20101022000058

Medical Identifiers

Medical identifiers for Ms Mariele Ann Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144358631	NPI	-	NPPES
CP11506	Other	CA	PSYCHOLOGIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY11506 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Life Ca Pc	3173989332	17

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. Ms Mariele Ann Moore allows following entities to bill medicare on her behalf.

Entity Name	Total Life Ca Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689389603 PECOS PAC ID: 3173989332 Enrollment ID: O20230515002327

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. Ms Mariele Ann 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
Ms Mariele Ann Moore, PHD 1416 Las Encinas Dr, Los Osos, CA 93402-4502 Ph: (805) 528-3782	Ms Mariele Ann Moore, PHD 1416 Las Encinas Dr, Los Osos, CA 93402-4502 Ph: (805) 528-3782

Reviews and Comments

Psychologist in Los Osos, CA

Mrs. Lindsey Dela Cruz, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1555 El Morro Ave, Los Osos, CA 93402 Phone: 805-534-2835
Dr. Michael Wayne Regier, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1705 14th St, Los Osos, CA 93402 Phone: 559-799-0116
Dr. Liliana Escobar-thies, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1254 2nd St, Suite C, Los Osos, CA 93402 Phone: 805-215-3518

Ms Mariele Ann Moore, PHD - Medicare Psychologist in Los Osos, CA