Jacqueline Diana Moore, MD is a medicare enrolled "Surgery" physician in Aldie, Virginia. Her current practice location is
24560 Southpoint Dr, Aldie, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 258-0399.
Jacqueline Diana Moore is licensed to practice in Virginia (license number 0101270338) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619173838.
Physician's Profile
Full Name | Jacqueline Diana Moore |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 24560 Southpoint Dr, Aldie, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline Diana Moore attended and graduated from in
NPI Data:
- NPI Number: 1619173838
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jacqueline Diana Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619173838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | S2120 (Texas) | Secondary |
208600000X | Surgery | 0101270338 (Virginia) | 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. Jacqueline Diana 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 |
Jacqueline Diana Moore, MD 24560 Southpoint Dr, Aldie, VA 20105-3510 Ph: (703) 258-0399 | Jacqueline Diana Moore, MD 24560 Southpoint Dr, Aldie, VA 20105-3510 Ph: (703) 258-0399 |
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