Dr Jason Patrick Moran, OD is a medicare enrolled "Optometrist" provider in Ft. Campbell, Kentucky. His current practice location is
5989 Desert Storm Ave, Ft. Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 956-0304.
Dr Jason Patrick Moran is licensed to practice in Tennessee (license number OD 2582) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851367817.
Healthcare Provider's Profile
Full Name | Dr Jason Patrick Moran |
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Gender | Male |
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Speciality | Optometrist |
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Location | 5989 Desert Storm Ave, Ft. Campbell, Kentucky |
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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: 1851367817
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941510077
- Enrollment ID: I20151102001972
Medical Identifiers
Medical identifiers for Dr Jason Patrick Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851367817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OD 2582 (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. Dr Jason Patrick Moran 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 |
Dr Jason Patrick Moran, OD 1210a Massachusetts Ave, Fort Campbell, KY 42223-3506 Ph: (931) 431-7876 | Dr Jason Patrick Moran, OD 5989 Desert Storm Ave, Ft. Campbell, KY 42223 Ph: (270) 956-0304 |
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