Breanna Moore, is a
Community Health Worker based in Athens, Ohio. Breanna Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
11 Graham Dr, Athens, Ohio. She can be reached at her office (for appointments etc.) via phone at
(800) 321-8293.
NPI number for Breanna Moore is 1518636919 and her current mailing address is Po Box 132, Athens, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518636919.
Healthcare Provider's Profile
| Full Name | Breanna Moore |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 11 Graham Dr, Athens, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518636919
- Provider Enumeration Date: 09/09/2021
- Last Update Date: 08/13/2026
Medical Identifiers
Medical identifiers for Breanna Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518636919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 177644 (Ohio) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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. Breanna 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 |
|---|
Breanna Moore,
Po Box 132,
Athens, OH 45701-0132
Ph: (800) 321-8293 | Breanna Moore,
11 Graham Dr,
Athens, OH 45701-1430
Ph: (800) 321-8293 |
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