Samantha Moore, is a
Peer Specialist based in Port Allen, Louisiana. Samantha Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
1021 Plantation Ave, Port Allen, 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 1021 Plantation Ave, Port Allen, 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 |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 1021 Plantation Ave, Port Allen, Louisiana |
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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: 12/19/2023
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 |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. 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, 1021 Plantation Ave, Port Allen, LA 70767-4034 Ph: (225) 460-0509 | Samantha Moore, 1021 Plantation Ave, Port Allen, LA 70767-4034 Ph: (225) 460-0509 |
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