Mrs Tammy Jo Moran, PA is a
Physician Assistant based in Rock Falls, Illinois. Mrs Tammy Jo Moran is licensed to practice in Illinois (license number 085-001786) and her current practice location is
1300 W 2nd St, Rock Falls, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 626-2230.
NPI number for Mrs Tammy Jo Moran is 1275600843 and her current mailing address is 1300 W 2nd St., Rock Falls, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275600843.
Provider's Profile
Full Name | Mrs Tammy Jo Moran |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1300 W 2nd St, Rock Falls, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275600843
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 07/12/2017
Medical Identifiers
Medical identifiers for Mrs Tammy Jo Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275600843 | NPI | - | NPPES |
085-001786 | Other | IL | ILLINOIS LICENSE NUMBER |
1528008034 | Other | IL | ORGANIZATION NPI NUMBER |
1035875 | Other | IL | PA CERTIFICATION NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085-001786 (Illinois) | 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. Mrs Tammy Jo 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 |
Mrs Tammy Jo Moran, PA 1300 W 2nd St., Rock Falls, IL 61071-1005 Ph: (815) 626-2230 | Mrs Tammy Jo Moran, PA 1300 W 2nd St, Rock Falls, IL 61071-1005 Ph: (815) 626-2230 |
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