Brondalynn Moore, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Brondalynn Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
4019 Greenwood Rd, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 626-5462.
NPI number for Brondalynn Moore is 1376086538 and her current mailing address is 4019 Greenwood Rd, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376086538.
Healthcare Provider's Profile
Full Name | Brondalynn Moore |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 4019 Greenwood Rd, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376086538
- Provider Enumeration Date: 11/21/2016
- Last Update Date: 06/06/2018
Medical Identifiers
Medical identifiers for Brondalynn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376086538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Brondalynn Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brondalynn Moore, 4019 Greenwood Rd, Shreveport, LA 71109-6422 Ph: (318) 626-5462 | Brondalynn Moore, 4019 Greenwood Rd, Shreveport, LA 71109 Ph: (318) 626-5462 |
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