Mardie Moore, is a
Community Health Worker based in Oakland, California. Mardie Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
930 66th Ave Apt 208, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 828-3737.
NPI number for Mardie Moore is 1487317640 and her current mailing address is 1266 14th St, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487317640.
Healthcare Provider's Profile
Full Name | Mardie Moore |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 930 66th Ave Apt 208, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487317640
- Provider Enumeration Date: 10/14/2021
- Last Update Date: 05/15/2023
Medical Identifiers
Medical identifiers for Mardie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487317640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 101YMO800X (California) | 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. Mardie 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 |
Mardie Moore, 1266 14th St, Oakland, CA 94607-2247 Ph: (510) 295-8205 | Mardie Moore, 930 66th Ave Apt 208, Oakland, CA 94621-3183 Ph: (510) 828-3737 |
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