Jason Edward Moore, is a
Case Manager/care Coordinator based in South Lake Tahoe, California. Jason Edward Moore is licensed to practice in * (Not Available) (license number ) and his current practice location is
1900 Lake Tahoe Blvd, South Lake Tahoe, California. He can be reached at his office (for appointments etc.) via phone at
(530) 573-7970.
NPI number for Jason Edward Moore is 1043979479 and his current mailing address is 1900 Lake Tahoe Blvd, South Lake Tahoe, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043979479.
Healthcare Provider's Profile
| Full Name | Jason Edward Moore |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1900 Lake Tahoe Blvd, South Lake Tahoe, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043979479
- Provider Enumeration Date: 12/13/2021
- Last Update Date: 06/24/2024
Medical Identifiers
Medical identifiers for Jason Edward Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043979479 | 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. Jason Edward 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 |
|---|
Jason Edward Moore,
1900 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6305
Ph: (530) 573-7970 | Jason Edward Moore,
1900 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6305
Ph: (530) 573-7970 |
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