Dr Jordan A Moore, MD is a
Dermatology physician based in Whitefish Bay, Wisconsin. Dr Jordan A Moore is licensed to practice in Wisconsin (license number 26687) and his current practice location is 121 E Silver Spring Dr, Whitefish Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 964-9030.
NPI number for Dr Jordan A Moore is 1013992619 and his current mailing address is 121 E Silver Spring Dr, Whitefish Bay, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013992619.
Physician's Profile
| Full Name | Dr Jordan A Moore |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Location | 121 E Silver Spring Dr, Whitefish Bay, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013992619
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 02/18/2016
Medical Identifiers
Medical identifiers for Dr Jordan A Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013992619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 26687 (Wisconsin) | 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 Jordan A 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 |
|---|
Dr Jordan A Moore, MD
121 E Silver Spring Dr,
Whitefish Bay, WI 53217-4702
Ph: (414) 964-9030 | Dr Jordan A Moore, MD
121 E Silver Spring Dr,
Whitefish Bay, WI 53217-4702
Ph: (414) 964-9030 |
Reviews and Comments