Samantha Moore, is a
Peer Specialist based in Baton Rouge, Louisiana. Samantha Moore is licensed to practice in NU (license number ) and her current practice location is
2751 Wooddale Blvd, Baton Rouge, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 460-0509.
NPI number for Samantha Moore is 1467989103 and her current mailing address is Po Box 66558, Baton Rouge, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467989103.
Healthcare Provider's Profile
| Full Name | Samantha Moore |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
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| Location | 2751 Wooddale Blvd, Baton Rouge, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467989103
- Provider Enumeration Date: 05/12/2017
- Last Update Date: 09/15/2025
Medical Identifiers
Medical identifiers for Samantha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467989103 | NPI | - | NPPES |
| 251S00000X | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (Louisiana) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| 175T00000X | Peer Specialist | (NU) | 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. Samantha 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 |
Samantha Moore, Po Box 66558, Baton Rouge, LA 70896-6558 Ph: (225) 460-0509 | Samantha Moore, 2751 Wooddale Blvd, Baton Rouge, LA 70805-7567 Ph: (225) 460-0509 |
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