Mrs Latisha Moore, BS is a
Case Management based in Washington, North Carolina. Mrs Latisha Moore is licensed to practice in North Carolina (license number ) and her current practice location is
139 W 3rd Street, Washington, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 940-7260.
NPI number for Mrs Latisha Moore is 1992860670 and her current mailing address is 139 W 3rd Street, Washington, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992860670.
Healthcare Provider's Profile
| Full Name | Mrs Latisha Moore |
|---|
| Gender | Female |
|---|
| Speciality | Case Management |
|---|
| Location | 139 W 3rd Street, Washington, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992860670
- Provider Enumeration Date: 12/24/2006
- Last Update Date: 01/07/2008
Medical Identifiers
Medical identifiers for Mrs Latisha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992860670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (North Carolina) | Primary |
| 320600000X | Residential Treatment Facility, Intellectual And/or Developmental Disabilities | MHL-007-062 (North Carolina) | Secondary |
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. Mrs Latisha 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 |
|---|
Mrs Latisha Moore, BS
139 W 3rd Street,
Washington, NC 27889-4970
Ph: (252) 940-7260 | Mrs Latisha Moore, BS
139 W 3rd Street,
Washington, NC 27889-3565
Ph: (252) 940-7260 |
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