Ms Jodi Michelle Moore, PA-C is a medicare enrolled "Physical Medicine & Rehabilitation - Brain Injury Medicine" in Fort Liberty, North Carolina. Her current practice location is
3908 Long Street, Fort Liberty, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 907-7777.
Ms Jodi Michelle Moore is licensed to practice in North Carolina (license number 0010-13861) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386794493.
Provider's Profile
Full Name | Ms Jodi Michelle Moore |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Brain Injury Medicine |
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Location | 3908 Long Street, Fort Liberty, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386794493
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244303352
- Enrollment ID: I20120514000734
Medical Identifiers
Medical identifiers for Ms Jodi Michelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386794493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 725 (Alaska) | Secondary |
2081P0301X | Physical Medicine & Rehabilitation - Brain Injury Medicine | 0010-13861 (North Carolina) | 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. Ms Jodi Michelle 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 |
Ms Jodi Michelle Moore, PA-C 3908 Long Street, Fort Liberty, NC 28310-0001 Ph: () - | Ms Jodi Michelle Moore, PA-C 3908 Long Street, Fort Liberty, NC 28310-0001 Ph: (910) 907-7777 |
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