Daisy Genolia Moore, MS is a
Community Health Worker based in Mccomb, Mississippi. Daisy Genolia Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
1701 White St, Mccomb, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 249-4217.
NPI number for Daisy Genolia Moore is 1679983944 and her current mailing address is 706 Highway 51 N, Brookhaven, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679983944.
Healthcare Provider's Profile
| Full Name | Daisy Genolia Moore |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1701 White St, Mccomb, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679983944
- Provider Enumeration Date: 05/07/2014
- Last Update Date: 01/14/2019
Medical Identifiers
Medical identifiers for Daisy Genolia Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679983944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Daisy Genolia 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 |
|---|
Daisy Genolia Moore, MS
706 Highway 51 N,
Brookhaven, MS 39601-2366
Ph: (601) 990-2513 | Daisy Genolia Moore, MS
1701 White St,
Mccomb, MS 39648-2711
Ph: (601) 249-4217 |
Reviews and Comments