Kathleen D Moore, MA, CCC-SLP in Andover, MN - Medicare Speech-Language Pathologist Provider

Kathleen D Moore, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Andover, Minnesota. Her current practice location is 16817 Zion St Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 955-3327.

Kathleen D Moore is licensed to practice in Minnesota (license number 10182) 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 1477037257.

Contact Information

	Kathleen D Moore, MA, CCC-SLP
	16817 Zion St Nw, Andover, MN 55304-2091
	(651) 955-3327
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen D Moore
Gender	Female
Speciality	Speech-language Pathologist
Location	16817 Zion St Nw, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477037257
Provider Enumeration Date: 09/18/2018
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 3779813662
Enrollment ID: I20190918003428

Medical Identifiers

Medical identifiers for Kathleen D Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477037257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	10182 (Minnesota)	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. Kathleen D Moore allows following entities to bill medicare on her behalf.

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Provider Name	Healtheast Outpatient Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040

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. Kathleen D 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
Kathleen D Moore, MA, CCC-SLP 16817 Zion St Nw, Andover, MN 55304-2091 Ph: (651) 955-3327	Kathleen D Moore, MA, CCC-SLP 16817 Zion St Nw, Andover, MN 55304-2091 Ph: (651) 955-3327

Reviews and Comments

Speech-Language Pathologist in Andover, MN

Megan Dierking, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Mrs. Melissa Sue Lonsky, CCC-SLP, OM Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261
Courtney Wagner, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Kristina Dose, MA, SLLP-CF/DE Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261
Ms. Kelsey Anne Wegner, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Nicole Morrissey, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-350-0371
Kayla Braun, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275

Kathleen D Moore, MA, CCC-SLP - Medicare Speech-Language Pathologist in Andover, MN