Dr Edward Tindal Moon, PSY D - Medicare Psychologist in Philadelphia, PA

Dr Edward Tindal Moon, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Philadelphia, Pennsylvania. His current practice location is 255 S 17th St, Suite 2301, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 659-0774.

Dr Edward Tindal Moon is licensed to practice in Pennsylvania (license number PS007695L) 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 1003824194.

Contact Information

Dr Edward Tindal Moon, PSY D
255 S 17th St, Suite 2301,
Philadelphia, PA 19103-6231
(610) 659-0774
Not Available



Healthcare Provider's Profile

Full NameDr Edward Tindal Moon
GenderMale
SpecialityPsychologist - Clinical
Location255 S 17th St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003824194
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 12/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5294961025
  • Enrollment ID: I20151029000452

Medical Identifiers

Medical identifiers for Dr Edward Tindal Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003824194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS007695L (Pennsylvania)Primary

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 Edward Tindal Moon 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 Edward Tindal Moon, PSY D
255 S 17th St, Suite 2301,
Philadelphia, PA 19103-6231

Ph: (610) 659-0774
Dr Edward Tindal Moon, PSY D
255 S 17th St, Suite 2301,
Philadelphia, PA 19103-6231

Ph: (610) 659-0774

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