Lawrence H. Moore - Medicare Mental Health Clinic in Vancouver, WA

Lawrence H. Moore is a medicare enrolled mental health clinic (Clinical Neuropsychologist) in Vancouver, Washington. The current practice location for Lawrence H. Moore is 2009 F Street, Vancouver, Washington. For appointments, you can reach them via phone at (360) 693-3715. The mailing address for Lawrence H. Moore is 2009 F Street, Vancouver, Washington and phone number is (360) 693-3715.

Lawrence H. Moore is licensed to practice in Washington (license number 2014). The clinic also participates in the medicare program and its NPI number is 1033325501. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (360) 693-3715.

Contact Information

Lawrence H. Moore
2009 F Street
Vancouver
WA 98663
(360) 693-3715
Not Available

Mental Health Clinic Profile

Full NameLawrence H. Moore
SpecialityClinical Neuropsychologist
Location2009 F Street, Vancouver, Washington
Authorized Official Name and PositionLawrence Harold Moore (VICE-PRESIDENT)
Authorized Official Contact3606933715
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lawrence H. Moore
2009 F Street
Vancouver
WA 98663

Ph: (360) 693-3715
Lawrence H. Moore
2009 F Street
Vancouver
WA 98663

Ph: (360) 693-3715

NPI Details:

NPI Number1033325501
Provider Enumeration Date05/14/2007
Last Update Date01/21/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2365332384
Medicare Enrollment IDO20040316000127

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Medical Identifiers

Medical identifiers for Lawrence H. Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033325501NPI-NPPES
7078918MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103G00000XClinical Neuropsychologist 2014 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lawrence H. Moore acts as a billing entity for following providers:
Provider NameLawrence H Moore
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215143821
PECOS PAC ID: 7517857535
Enrollment ID: I20040330000797

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Provider NameTaryn E Markee
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1548312630
PECOS PAC ID: 2062302086
Enrollment ID: I20040330001036

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Provider NameRyan Mangum
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1790311157
PECOS PAC ID: 8123441805
Enrollment ID: I20200714001626

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Clinical Neuropsychologist in Vancouver, WA

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