Jeremiah Lee Moen, LCSW | |
1600 Providence Dr, Waco, TX 76707-2261 | |
(254) 313-4500 | |
(254) 313-4549 |
Full Name | Jeremiah Lee Moen |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 5 Years |
Location | 1600 Providence Dr, Waco, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578238929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 67912 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heart Of Texas Community Health Center, Inc. | 1153370242 | 98 |
Entity Name | Heart Of Texas Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568191492 PECOS PAC ID: 1153370242 Enrollment ID: O20050114000813 |
Entity Name | Texas Health Virtual Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942951199 PECOS PAC ID: 5991176356 Enrollment ID: O20230121000123 |
Mailing Address | Practice Location Address |
---|---|
Jeremiah Lee Moen, LCSW 1600 Providence Dr, Waco, TX 76707-2261 Ph: (254) 313-4200 | Jeremiah Lee Moen, LCSW 1600 Providence Dr, Waco, TX 76707-2261 Ph: (254) 313-4500 |
Kelli King Guerrero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1105 Jefferson Ave, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Samantha Rae Sophie Stough, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5931 Crosslake Pkwy, Waco, TX 76712 Phone: 254-870-5457 | |
Mrs. Kathleen Paige Cunningham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Pine Ave, Waco, TX 76708 Phone: 706-424-0867 | |
Chelsea Layne Kramer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 | |
Juliana Del Laboube, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-297-3000 | |
Mrs. Natalie O'connor Qualls, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Ezekiel Coleman Morgan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-313-4200 Fax: 254-313-4549 |