Sue A Moler, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Arizona City, Arizona. Her current practice location is
14574 S Sunland Gin Rd, Arizona City, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 387-5651.
Sue A Moler is licensed to practice in Arizona (license number PSY-005408) 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 1265000384.
Healthcare Provider's Profile
| Full Name | Sue A Moler |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 14574 S Sunland Gin Rd, Arizona City, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265000384
- Provider Enumeration Date: 06/15/2021
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840653929
- Enrollment ID: I20230823002245
Medical Identifiers
Medical identifiers for Sue A Moler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265000384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY-005408 (Arizona) | 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. Sue A Moler allows following entities to bill medicare on her behalf.
| Entity Name | Ajo Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114037496
PECOS PAC ID: 3476441866
Enrollment ID: O20040308000777 |
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| Entity Name | Pacific Coast Psychiatric Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023125465
PECOS PAC ID: 2567469174
Enrollment ID: O20230709000038 |
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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. Sue A Moler 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 |
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Sue A Moler, PSYD
410 N Malacate St,
Ajo, AZ 85321-2254
Ph: (559) 250-3541 | Sue A Moler, PSYD
14574 S Sunland Gin Rd,
Arizona City, AZ 85123
Ph: (520) 387-5651 |
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