Mr Moise Kelly, is a
Community Health Worker based in Mesa, Arizona. Mr Moise Kelly is licensed to practice in Arizona (license number 957399) and his current practice location is
455 S Mesa Dr Unit 142, Mesa, Arizona. He can be reached at his office (for appointments etc.) via phone at
(480) 277-0313.
NPI number for Mr Moise Kelly is 1447640958 and his current mailing address is 455 S Mesa Dr Unit 142, Mesa, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447640958.
Healthcare Provider's Profile
Full Name | Mr Moise Kelly |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 455 S Mesa Dr Unit 142, Mesa, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447640958
- Provider Enumeration Date: 02/04/2015
- Last Update Date: 07/16/2019
Medical Identifiers
Medical identifiers for Mr Moise Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447640958 | NPI | - | NPPES |
957399 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 957399 (Arizona) | Secondary |
104100000X | Social Worker | 957399 (Arizona) | Secondary |
171M00000X | Case Manager/care Coordinator | 957399 (Arizona) | Secondary |
174H00000X | Health Educator | 957399 (Arizona) | Secondary |
172V00000X | Community Health Worker | 957399 (Arizona) | 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. Mr Moise Kelly 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 |
Mr Moise Kelly, 455 S Mesa Dr Unit 142, Mesa, AZ 85210-2711 Ph: (480) 616-3323 | Mr Moise Kelly, 455 S Mesa Dr Unit 142, Mesa, AZ 85210-2711 Ph: (480) 277-0313 |
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