Janelle Rae Moore, is a
Family Medicine physician based in Odessa, Washington. Janelle Rae Moore is licensed to practice in Washington (license number 2084P0800X) and his current practice location is Po Box 340, Odessa, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 988-0076.
NPI number for Janelle Rae Moore is 1750119723 and his current mailing address is Po Box 340, Odessa, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750119723.
Physician's Profile
| Full Name | Janelle Rae Moore |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | Po Box 340, Odessa, 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: 1750119723
- Provider Enumeration Date: 07/22/2024
- Last Update Date: 07/22/2024
Medical Identifiers
Medical identifiers for Janelle Rae Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750119723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2084P0800X (Washington) | 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. Janelle Rae 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 |
|---|
Janelle Rae Moore,
Po Box 340,
Odessa, WA 99159-0340
Ph: (509) 988-0076 | Janelle Rae Moore,
Po Box 340,
Odessa, WA 99159-0340
Ph: (509) 988-0076 |
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