Jacob Moore, RN - Registered Nurse in Monroe, MI

Jacob Moore, RN is a Registered Nurse based in Monroe, Michigan. Jacob Moore is licensed to practice in Michigan (license number 4704313624) and his current practice location is 1001 S Raisinville Rd, Monroe, Michigan. He can be reached at his office (for appointments etc.) via phone at (734) 384-0377.

NPI number for Jacob Moore is 1295438190 and his current mailing address is 1001 S Raisinville Rd, Monroe, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295438190.

Contact Information

Jacob Moore, RN
1001 S Raisinville Rd,
Monroe, MI 48161-9754
(734) 384-0377
Not Available

Map and Direction




Provider's Profile

Full NameJacob Moore
GenderMale
SpecialityRegistered Nurse
Location1001 S Raisinville Rd, Monroe, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295438190
  • Provider Enumeration Date: 03/22/2023
  • Last Update Date: 03/22/2023

Medical Identifiers

Medical identifiers for Jacob Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295438190NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704313624 (Michigan)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. Jacob 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 AddressPractice Location Address
Jacob Moore, RN
1001 S Raisinville Rd,
Monroe, MI 48161-9754

Ph: () -
Jacob Moore, RN
1001 S Raisinville Rd,
Monroe, MI 48161-9754

Ph: (734) 384-0377

Reviews and Comments


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Mrs. Tammara Lynn Schober, REGISTERED NURSE
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Lisa Bradley, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161
Phone: 734-243-7340    Fax: 734-243-2705

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.