Paul Daniel Moreno Sr, SUDCC III, BA is a
Community Health Worker based in Fresno, California. Paul Daniel Moreno Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
153 N U St, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 445-9094.
NPI number for Paul Daniel Moreno Sr is 1295198992 and his current mailing address is 153 N U St, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295198992.
Healthcare Provider's Profile
| Full Name | Paul Daniel Moreno Sr |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 153 N U St, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295198992
- Provider Enumeration Date: 03/30/2016
- Last Update Date: 05/09/2024
Medical Identifiers
Medical identifiers for Paul Daniel Moreno Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295198992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A051500118 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5933 (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. Paul Daniel Moreno Sr 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 |
|---|
Paul Daniel Moreno Sr, SUDCC III, BA
153 N U St,
Fresno, CA 93701-2438
Ph: (559) 445-9094 | Paul Daniel Moreno Sr, SUDCC III, BA
153 N U St,
Fresno, CA 93701-2438
Ph: (559) 445-9094 |
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