Dajana Moore, RD in Mesa, AZ - Medicare Dietitian, Registered Provider

Dajana Moore, RD is a medicare enrolled "Dietitian, Registered" provider in Mesa, Arizona. Her current practice location is 1910 S Stapley Dr Ste 221, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 399-6825.

Dajana Moore is licensed to practice in Arizona (license number 86294256) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386369064.

Contact Information

	Dajana Moore, RD
	1910 S Stapley Dr Ste 221, Mesa, AZ 85204-6680
	(623) 399-6825
	(623) 505-3474

Map and Direction

Healthcare Provider's Profile

Full Name	Dajana Moore
Gender	Female
Speciality	Dietitian, Registered
Location	1910 S Stapley Dr Ste 221, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386369064
Provider Enumeration Date: 10/05/2022
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 4981070703
Enrollment ID: I20221019003215

Medical Identifiers

Medical identifiers for Dajana Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386369064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86294256 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dajana Moore allows following entities to bill medicare on her behalf.

Provider Name	Am Nutrition Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003011602 PECOS PAC ID: 1254430580 Enrollment ID: O20070627000063

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. Dajana Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dajana Moore, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825	Dajana Moore, RD 1910 S Stapley Dr Ste 221, Mesa, AZ 85204-6680 Ph: (623) 399-6825

Reviews and Comments

Dietitian, Registered in Mesa, AZ

Linda Miranda, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3356 E Javelina Ave, Mesa, AZ 85204 Phone: 602-397-0455
Alexandra Marie Franklin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 S. Power Rd., Bldg. #9, Suite 222, Mesa, AZ 85209 Phone: 480-276-5984
Dr. John St. Rose Jr., ND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1050 E University Dr Ste 10, Mesa, AZ 85203 Phone: 480-712-7099
Lauren Turilli, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 W Brown Rd, Mesa, AZ 85201 Phone: 480-684-5087 Fax: 480-684-5026
Ms. Antoinetta V Anselmo, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 544 N Alma School Rd Unit 5, Mesa, AZ 85201 Phone: 602-803-4522 Fax: 480-621-8109
Julie Lammers, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1450 S Dobson Rd Ste B221, Mesa, AZ 85202 Phone: 480-827-5370
Rogelio Pena, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1511 W 7th Pl, Mesa, AZ 85201 Phone: 480-280-4414

Dajana Moore, RD - Medicare Dietitian in Mesa, AZ