Jeri Moore, is a
Counselor - Mental Health based in Dania, Florida. Jeri Moore is licensed to practice in Florida (license number MH5195) and her current practice location is
604 Ne 2nd St Apt 220, Dania, Florida. She can be reached at her office (for appointments etc.) via phone at
(305) 984-9661.
NPI number for Jeri Moore is 1619494135 and her current mailing address is 604 Ne 2nd St Apt 220, Dania, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619494135.
Healthcare Provider's Profile
| Full Name | Jeri Moore |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 604 Ne 2nd St Apt 220, Dania, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619494135
- Provider Enumeration Date: 08/25/2017
- Last Update Date: 01/25/2024
Medical Identifiers
Medical identifiers for Jeri Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619494135 | NPI | - | NPPES |
| MH5195 | Other | FL | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH5195 (Florida) | 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. Jeri 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 |
|---|
Jeri Moore,
604 Ne 2nd St Apt 220,
Dania, FL 33004-3309
Ph: (305) 984-9661 | Jeri Moore,
604 Ne 2nd St Apt 220,
Dania, FL 33004-3309
Ph: (305) 984-9661 |
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