Dr Brian Leopold Moore, PHD - Medicare Psychologist in Canoga Park, CA

Dr Brian Leopold Moore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Canoga Park, California. His current practice location is 7621 Canoga Ave, Canoga Park, California. You can reach out to his office (for appointments etc.) via phone at (818) 642-1269.

Dr Brian Leopold Moore is licensed to practice in California (license number PSY13499) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518042753.

Contact Information

Dr Brian Leopold Moore, PHD
7621 Canoga Ave,
Canoga Park, CA 91304-4912
(818) 642-1269
(818) 598-6937



Healthcare Provider's Profile

Full NameDr Brian Leopold Moore
GenderMale
SpecialityPsychologist - Clinical
Location7621 Canoga Ave, Canoga Park, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518042753
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 10/04/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4082666888
  • Enrollment ID: I20050218000823

Medical Identifiers

Medical identifiers for Dr Brian Leopold Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518042753NPI-NPPES
GD050ZOtherPTAN
GD050YOtherPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY13499 (California)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. Dr Brian Leopold Moore allows following entities to bill medicare on his behalf.
Entity NameLos Angeles County Department Of Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083633929
PECOS PAC ID: 7416869896
Enrollment ID: O20031104000319

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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. Dr Brian Leopold 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 AddressPractice Location Address
Dr Brian Leopold Moore, PHD
7621 Canoga Ave,
Canoga Park, CA 91304-4912

Ph: (818) 642-1269
Dr Brian Leopold Moore, PHD
7621 Canoga Ave,
Canoga Park, CA 91304-4912

Ph: (818) 642-1269

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Psychologist in Canoga Park, CA

Eileen M. Maronde, PH.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7621 Canoga Ave, Canoga Park, CA 91304
Phone: 818-598-6900    
Dr. Shirin Sharifha, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 7621 Canoga Ave, Canoga Park, CA 91304
Phone: 818-598-6900    Fax: 818-598-6971
Kristen Kemp, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7246 Remmet Ave, Canoga Park, CA 91303
Phone: 707-616-1803    
Lawrence H. Zaiden, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 21201 Victory Blvd, Suite # 250, Canoga Park, CA 91303
Phone: 818-710-1245    Fax: 818-710-1246
Ronnie L Bunkley,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7246 Remmet Ave, Canoga Park, CA 91303
Phone: 818-206-0360    
Dr. Christopher Geoffrey Craig, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7800 Topanga Canyon Blvd, Apt. 318, Canoga Park, CA 91304
Phone: 818-710-1290    Fax: 818-710-1290

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