Dr Jason Rusk Moffitt, DDS is a
Dental Assistant based in Spokane, Washington. Dr Jason Rusk Moffitt is licensed to practice in * (Not Available) (license number ) and his current practice location is
520 S Cowley St, Spokane, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 838-1445.
NPI number for Dr Jason Rusk Moffitt is 1871683359 and his current mailing address is 520 S Cowley St., Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871683359.
Healthcare Provider's Profile
| Full Name | Dr Jason Rusk Moffitt |
|---|
| Gender | Male |
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| Speciality | Dental Assistant |
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| Location | 520 S Cowley St, Spokane, Washington |
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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: 1871683359
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Jason Rusk Moffitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871683359 | NPI | - | NPPES |
| 5036652 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 025103DE00007948 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | DH00001904 (Washington) | Primary |
| 126800000X | Dental Assistant | (* (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. Dr Jason Rusk Moffitt 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 |
|---|
Dr Jason Rusk Moffitt, DDS
520 S Cowley St.,
Spokane, WA 99202-1395
Ph: (509) 838-1445 | Dr Jason Rusk Moffitt, DDS
520 S Cowley St,
Spokane, WA 99202-1315
Ph: (509) 838-1445 |
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