Terri Lea Moak, LVN is a
Licensed Vocational Nurse based in Benbrook, Texas. Terri Lea Moak is licensed to practice in Texas (license number 88776) and her current practice location is
120 Overcrest Dr, Benbrook, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 905-5125.
NPI number for Terri Lea Moak is 1295239903 and her current mailing address is 120 Overcrest Dr, Benbrook, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295239903.
Provider's Profile
| Full Name | Terri Lea Moak |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 120 Overcrest Dr, Benbrook, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295239903
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 03/19/2018
Medical Identifiers
Medical identifiers for Terri Lea Moak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295239903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 88776 (Texas) | 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. Terri Lea Moak 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 |
|---|
Terri Lea Moak, LVN
120 Overcrest Dr,
Benbrook, TX 76126-4021
Ph: (817) 247-2805 | Terri Lea Moak, LVN
120 Overcrest Dr,
Benbrook, TX 76126-4021
Ph: (817) 905-5125 |
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