Ashley Josselyn Moore, BA PSYCHOLOGY is a
Community Health Worker based in Big Bear Lake, California. Ashley Josselyn Moore is licensed to practice in California (license number ) and her current practice location is
41945 Big Bear Blvd # 222, Big Bear Lake, California. She can be reached at her office (for appointments etc.) via phone at
(909) 866-5070.
NPI number for Ashley Josselyn Moore is 1124771662 and her current mailing address is Po Box 6300, Crestline, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124771662.
Healthcare Provider's Profile
Full Name | Ashley Josselyn Moore |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 41945 Big Bear Blvd # 222, Big Bear Lake, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124771662
- Provider Enumeration Date: 02/03/2022
- Last Update Date: 11/15/2023
Medical Identifiers
Medical identifiers for Ashley Josselyn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124771662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (California) | 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. Ashley Josselyn 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 |
Ashley Josselyn Moore, BA PSYCHOLOGY Po Box 6300, Crestline, CA 92325-6300 Ph: (909) 336-3330 | Ashley Josselyn Moore, BA PSYCHOLOGY 41945 Big Bear Blvd # 222, Big Bear Lake, CA 92315-2030 Ph: (909) 866-5070 |
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