Jacquilla Stephens Moton, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Jacquilla Stephens Moton is licensed to practice in * (Not Available) (license number ) and her current practice location is
1500 N Market St Ste C104, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 626-5597.
NPI number for Jacquilla Stephens Moton is 1548774797 and her current mailing address is 1500 N Market St Ste C104, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548774797.
Healthcare Provider's Profile
Full Name | Jacquilla Stephens Moton |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 1500 N Market St Ste C104, 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: 1548774797
- Provider Enumeration Date: 11/27/2017
- Last Update Date: 07/31/2018
Medical Identifiers
Medical identifiers for Jacquilla Stephens Moton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548774797 | 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. Jacquilla Stephens Moton 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 |
Jacquilla Stephens Moton, 1500 N Market St Ste C104, Shreveport, LA 71107-6545 Ph: (318) 626-5597 | Jacquilla Stephens Moton, 1500 N Market St Ste C104, Shreveport, LA 71107 Ph: (318) 626-5597 |
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