Jessica Dyan Moore, OD is a medicare enrolled "Optometrist" provider in Sutton, Nebraska. Her current practice location is
210 N Saunders Ave, Sutton, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 366-6966.
Jessica Dyan Moore is licensed to practice in Nebraska (license number 1183) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043207194.
Healthcare Provider's Profile
Full Name | Jessica Dyan Moore |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 210 N Saunders Ave, Sutton, Nebraska |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Dyan Moore attended and graduated from in
NPI Data:
- NPI Number: 1043207194
- Provider Enumeration Date: 10/04/2005
- Last Update Date: 07/26/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jessica Dyan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043207194 | NPI | - | NPPES |
22-00509 | Other | NE | UNITED HEALTH CARE |
410048038 | Other | NE | RAILROAD MEDICARE |
36383 | Other | NE | BLUE CROSS BLUE SHIELD |
0183380002 | Other | NE | DMERC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1183 (Nebraska) | 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. Jessica Dyan Moore 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 |
Jessica Dyan Moore, OD Po Box 75, Sutton, NE 68979-0075 Ph: (402) 366-6966 | Jessica Dyan Moore, OD 210 N Saunders Ave, Sutton, NE 68979-2511 Ph: (402) 366-6966 |
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