DR. MARK MOORE PHD
NPI 1669690905
Psychologist - Prescribing (Medical) in Philadelphia, PA

NPI Status: Active since April 23, 2007

Contact Information

230 W WASHINGTON SQ
2ND FLOOR
PHILADELPHIA, PA
ZIP 19106
Phone: (215) 829-6088
Fax: (215) 829-6104

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 23
  • Psychologist
  • Prescribing (Medical)
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARK MOORE

This page provides the complete NPI Profile along with additional information for Mark Moore, a provider established in Philadelphia, Pennsylvania with a medical specialization in Psychologist, focusing in prescribing (medical) and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1669690905 assigned on April 2007. The practitioner's primary taxonomy code is 103TP0016X with license number PS015627 (PA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1669690905
Provider Name
DR. MARK MOORE PHD
Gender
Male
Entity Type
Individual
Location Address
230 W WASHINGTON SQ 2ND FLOOR PHILADELPHIA, PA 19106
Location Phone
(215) 829-6088
Location Fax
(215) 829-6104
Mailing Address
230 W WASHINGTON SQ 2ND FLOOR PHILADELPHIA, PA 19106
Mailing Phone
(215) 829-6088
Mailing Fax
(215) 829-6104
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
04-23-2007
Last Update Date
07-08-2007
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
License No.
PS015627
License State
PA
Taxonomy Description
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
093895MC4MEDICARE ID-TYPE UNSPECIFIED (04)PA 

Medicare Participation & PECOS Enrollment Status

Mark Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mark Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7416989751

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050907000734

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. MARK MOORE PHD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669690905, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 2 + 9 + 0 + 9 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1669690905.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
230 W WASHINGTON SQ, SUITE 100
PHILADELPHIA, PA 19106
Internal Medicine (Nephrology)
230 W WASHINGTON SQ, SUITE 100
PHILADELPHIA, PA 19106
Internal Medicine (Hematology & Oncology)
230 W WASHINGTON SQ, 2ND FLOOR
PHILADELPHIA, PA 19106
Internal Medicine (Cardiovascular Disease)
230 W WASHINGTON SQ, 3RD FLOOR
PHILADELPHIA, PA 19106
Internal Medicine (Interventional Cardiology)
230 W WASHINGTON SQ, 3RD FLOOR
PHILADELPHIA, PA 19106
Internal Medicine (Cardiovascular Disease)
230 W WASHINGTON SQ, 3RD FLOOR
PHILADELPHIA, PA 19106
Nurse Practitioner (Family)
230 W WASHINGTON SQ, 3RD FLOOR
PHILADELPHIA, PA 19106
Nurse Practitioner (Adult Health)
230 W WASHINGTON SQ, 3RD FLOOR
PHILADELPHIA, PA 19106
Internal Medicine (Cardiovascular Disease)
230 W WASHINGTON SQ, 3RD FLOOR
PHILADELPHIA, PA 19106
Internal Medicine (Cardiovascular Disease)
230 W WASHINGTON SQ, 3RD FLOOR
PHILADELPHIA, PA 19106
Physical Therapist
230 W WASHINGTON SQ, 5TH FLOOR
PHILADELPHIA, PA 19106
Physical Therapist
230 W WASHINGTON SQ, 5TH FLOOR
PHILADELPHIA, PA 19106
Non-Pharmacy Dispensing Site
230 W WASHINGTON SQ, 2ND FL
PHILADELPHIA, PA 19106
Clinic/Center (Endoscopy)
230 W WASHINGTON SQ, 4TH FL
PHILADELPHIA, PA 19106
Specialist
230 W WASHINGTON SQ, 4TH FL
PHILADELPHIA, PA 19106
Internal Medicine (Nephrology)
230 W WASHINGTON SQ, SUITE 100
PHILADELPHIA, PA 19106
Internal Medicine (Cardiovascular Disease)
230 W WASHINGTON SQ, 3RD FLOOR
PHILADELPHIA, PA 19106
Internal Medicine (Interventional Cardiology)
230 W WASHINGTON SQ, FARM JOURNAL BUILDING
PHILADELPHIA, PA 19106
Genetic Counselor, MS
230 W WASHINGTON SQ, JOAN KARNELL CANCER CENTER AT PENNSYLVANIA HOSPITAL
PHILADELPHIA, PA 19106
Nurse Practitioner (Family)
230 W WASHINGTON SQ, FARM JOURNAL BUILDING
PHILADELPHIA, PA 19106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669690905, enumerated as an "individual" on April 23, 2007.

The provider is located at 230 W WASHINGTON SQ 2ND FLOOR PHILADELPHIA, PA 19106 and the phone number is (215) 829-6088.

Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.