Dr Jacqueline Moyerman, PHD is a
Psychologist - Clinical based in Thomaston, Georgia. Dr Jacqueline Moyerman is licensed to practice in Georgia (license number 1583) and her current practice location is
210 Hannahs Mill Rd, Thomaston, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 646-4543.
NPI number for Dr Jacqueline Moyerman is 1932273786 and her current mailing address is 6326 Cape Cod Dr, Columbus, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932273786.
Healthcare Provider's Profile
| Full Name | Dr Jacqueline Moyerman |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 210 Hannahs Mill Rd, Thomaston, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932273786
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Jacqueline Moyerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932273786 | NPI | - | NPPES |
| 000461469C | Medicaid | GA | |
| PY4912 | Other | FL | PSYCHOLOGY LICENSE |
| 1583 | Other | GA | PSYCHOLOGY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1583 (Georgia) | 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 Jacqueline Moyerman 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 |
|---|
Dr Jacqueline Moyerman, PHD
6326 Cape Cod Dr,
Columbus, GA 31904-2916
Ph: (706) 570-1629 | Dr Jacqueline Moyerman, PHD
210 Hannahs Mill Rd,
Thomaston, GA 30286-2801
Ph: (706) 646-4543 |
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