Wilesha Shanise Moore, is a
Student In An Organized Health Care Education/training Program based in Spartanburg, South Carolina. Wilesha Shanise Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
242 Holmes Dr, Spartanburg, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 621-1825.
NPI number for Wilesha Shanise Moore is 1659136240 and her current mailing address is 242 Holmes Dr, Spartanburg, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659136240.
Provider's Profile
| Full Name | Wilesha Shanise Moore |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 242 Holmes Dr, Spartanburg, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659136240
- Provider Enumeration Date: 02/14/2024
- Last Update Date: 02/14/2024
Medical Identifiers
Medical identifiers for Wilesha Shanise Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659136240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Wilesha Shanise 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 |
|---|
Wilesha Shanise Moore,
242 Holmes Dr,
Spartanburg, SC 29303-4419
Ph: (864) 621-1825 | Wilesha Shanise Moore,
242 Holmes Dr,
Spartanburg, SC 29303-4419
Ph: (864) 621-1825 |
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