Kanesha Moore, is a medicare enrolled "Psychologist" provider in Memphis, Tennessee. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
8295 Tournament Dr Ste 150, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(866) 563-7772.
Kanesha Moore is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1467881961.
Healthcare Provider's Profile
| Full Name | Kanesha Moore |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 8295 Tournament Dr Ste 150, Memphis, Tennessee |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kanesha Moore graduated from medical school in 2021
NPI Data:
- NPI Number: 1467881961
- Provider Enumeration Date: 11/05/2013
- Last Update Date: 11/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 7810403011
- Enrollment ID: I20250723003673
Medical Identifiers
Medical identifiers for Kanesha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467881961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (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. Kanesha 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 |
|---|
Kanesha Moore,
8295 Tournament Dr Ste 150,
Memphis, TN 38125-8900
Ph: () - | Kanesha Moore,
8295 Tournament Dr Ste 150,
Memphis, TN 38125-8900
Ph: (866) 563-7772 |
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