Tabatha Eva Moore, is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1100 Logger Ct Apt D, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 844-7770.
Tabatha Eva Moore is licensed to practice in North Carolina (license number P014337) 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 1639696115.
Healthcare Provider's Profile
| Full Name | Tabatha Eva Moore |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 1100 Logger Ct Apt D, Raleigh, North Carolina |
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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:
- Tabatha Eva Moore graduated from medical school in 2017
NPI Data:
- NPI Number: 1639696115
- Provider Enumeration Date: 08/25/2017
- Last Update Date: 04/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820399488
- Enrollment ID: I20260219003499
Medical Identifiers
Medical identifiers for Tabatha Eva Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639696115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCAS-2896 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P014337 (North Carolina) | 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. Tabatha Eva 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 |
|---|
Tabatha Eva Moore,
1100 Logger Ct,
Raleigh, NC 27609-8525
Ph: (919) 844-7770 | Tabatha Eva Moore,
1100 Logger Ct Apt D,
Raleigh, NC 27609-8525
Ph: (919) 844-7770 |
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