Mr Michael Kay Moore, COTA is a
Occupational Therapist based in Jacksonville, Texas. Mr Michael Kay Moore is licensed to practice in Texas (license number 209911) and his current practice location is
4155 Cr 3908, Jacksonville, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 586-6990.
NPI number for Mr Michael Kay Moore is 1306031018 and his current mailing address is 4155 Cr 3908, Jacksonville, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306031018.
Healthcare Provider's Profile
| Full Name | Mr Michael Kay Moore |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 4155 Cr 3908, Jacksonville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306031018
- Provider Enumeration Date: 09/06/2007
- Last Update Date: 09/06/2007
Medical Identifiers
Medical identifiers for Mr Michael Kay Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306031018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 209911 (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. Mr Michael Kay 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 |
|---|
Mr Michael Kay Moore, COTA
4155 Cr 3908,
Jacksonville, TX 75766
Ph: (903) 586-6990 | Mr Michael Kay Moore, COTA
4155 Cr 3908,
Jacksonville, TX 75766
Ph: (903) 586-6990 |
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