Calicia Jean Moss, is a
Occupational Therapist based in Watertown, Tennessee. Calicia Jean Moss is licensed to practice in Tennessee (license number 6179) and her current practice location is
6157 Greenvale Rd, Watertown, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 516-7712.
NPI number for Calicia Jean Moss is 1275191645 and her current mailing address is 6157 Greenvale Rd, Watertown, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275191645.
Healthcare Provider's Profile
| Full Name | Calicia Jean Moss |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 6157 Greenvale Rd, Watertown, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1275191645
- Provider Enumeration Date: 05/31/2019
- Last Update Date: 05/31/2019
Medical Identifiers
Medical identifiers for Calicia Jean Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275191645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 6179 (Tennessee) | 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. Calicia Jean Moss 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 |
|---|
Calicia Jean Moss,
6157 Greenvale Rd,
Watertown, TN 37184-3812
Ph: (615) 516-7712 | Calicia Jean Moss,
6157 Greenvale Rd,
Watertown, TN 37184-3812
Ph: (615) 516-7712 |
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