Charisse Brown-moran, is a
General Practice physician based in Randolph Afb, Texas. Charisse Brown-moran is licensed to practice in Delaware (license number C1-0023895) and her current practice location is 221 3rd St W Bldg 1040, Randolph Afb, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 652-4267.
NPI number for Charisse Brown-moran is 1790241487 and her current mailing address is 221 3rd St W Bldg 1040, Randolph Afb, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790241487.
Physician's Profile
Full Name | Charisse Brown-moran |
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Gender | Female |
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Speciality | General Practice |
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Location | 221 3rd St W Bldg 1040, Randolph Afb, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790241487
- Provider Enumeration Date: 02/18/2019
- Last Update Date: 09/16/2020
Medical Identifiers
Medical identifiers for Charisse Brown-moran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790241487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | C1-0023895 (Delaware) | 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. Charisse Brown-moran 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 |
Charisse Brown-moran, 221 3rd St W Bldg 1040, Randolph Afb, TX 78150-4800 Ph: (210) 652-4267 | Charisse Brown-moran, 221 3rd St W Bldg 1040, Randolph Afb, TX 78150-4800 Ph: (210) 652-4267 |
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