Moua Ko Moua, LAC, SWLC is a medicare enrolled "Social Worker - Clinical" provider in Missoula, Montana. His current practice location is
2620 Connery Way, Missoula, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 203-9948.
Moua Ko Moua is licensed to practice in Montana (license number BBH-LCSW-LIC-71084) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467110726.
Healthcare Provider's Profile
Full Name | Moua Ko Moua |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2620 Connery Way, Missoula, Montana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467110726
- Provider Enumeration Date: 12/03/2021
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789127804
- Enrollment ID: I20240618001363
Medical Identifiers
Medical identifiers for Moua Ko Moua such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467110726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-LAC-LIC-64332 (Montana) | Secondary |
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-71084 (Montana) | 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. Moua Ko Moua is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Moua Ko Moua, LAC, SWLC 329 Chief Looking Glass Rd, Florence, MT 59833-6638 Ph: (406) 529-7997 | Moua Ko Moua, LAC, SWLC 2620 Connery Way, Missoula, MT 59808-1325 Ph: (406) 203-9948 |
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