Mr Nathaniel A Moore, LAC is a
Counselor - Addiction (substance Use Disorder) based in Marion, Montana. Mr Nathaniel A Moore is licensed to practice in Montana (license number BBH-LAC-LIC-30140) and his current practice location is
200 Hubbart Dam Rd, Marion, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 296-4272.
NPI number for Mr Nathaniel A Moore is 1518565803 and his current mailing address is 200 Hubbart Dam Rd, Marion, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518565803.
Healthcare Provider's Profile
| Full Name | Mr Nathaniel A Moore |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 200 Hubbart Dam Rd, Marion, Montana |
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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: 1518565803
- Provider Enumeration Date: 10/09/2020
- Last Update Date: 06/30/2021
Medical Identifiers
Medical identifiers for Mr Nathaniel A Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518565803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11780420-6006 (Utah) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-LAC-LIC-30140 (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. Mr Nathaniel A 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 |
|---|
Mr Nathaniel A Moore, LAC
200 Hubbart Dam Rd,
Marion, MT 59925-9708
Ph: (406) 296-4272 | Mr Nathaniel A Moore, LAC
200 Hubbart Dam Rd,
Marion, MT 59925-9708
Ph: (406) 296-4272 |
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