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

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



Healthcare Provider's Profile

Full NameKathleen D Moore
GenderFemale
SpecialitySpeech-language Pathologist
Location16817 Zion St Nw, Andover, Minnesota
Accepts Medicare AssignmentsMedicare 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: 04/26/2024
  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.
IdentifierTypeStateIssuer
1477037257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-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 NameFairview Express Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1225382526
PECOS PAC ID: 0941447304
Enrollment ID: O20130503000040

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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. 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 AddressPractice 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

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Though the initial phase of the debt deal doesn't include immediate provider cuts, analysts say the next phase — the work of the 'super committee' — could make significant reductions in spending for entitlements like Medicare and Medicaid. Even some elements of the health law and scientific research could be on the chopping block.

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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    

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