| Jodi Moore, PA-C | |
|
47 8th St W, Dickinson, ND 58601-3951 | |
| (701) 456-3819 | |
| (701) 456-3815 |
| Full Name | Jodi Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 47 8th St W, Dickinson, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366412843 | NPI | - | NPPES |
| P00074851 | Other | ND | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0303 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Moore, PA-C 47 8th St W, Dickinson, ND 58601-3951 Ph: (701) 456-3819 | Jodi Moore, PA-C 47 8th St W, Dickinson, ND 58601-3951 Ph: (701) 456-3819 |
Larissa Ann Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Kelsey Violet Luce, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 Fairway St, Dickinson, ND 58601 Phone: 701-456-4000 | |
Ann Coates, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1531 W Villard St, Dickinson, ND 58601 Phone: 701-225-7575 | |
Shad W Brophy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 227 16th St W, Dickinson, ND 58601 Phone: 701-227-7900 Fax: 701-227-7985 | |
Robert White, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 141 5th St E, Dickinson, ND 58601 Phone: 701-590-9464 | |
Tatia Marie Call, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6001 |