Jeffrey Evan Moore, RD in Petaluma, CA - Medicare Dietitian, Registered Provider

Jeffrey Evan Moore, RD is a medicare enrolled "Dietitian, Registered" provider in Petaluma, California. His current practice location is 1121 Baywood Dr Apt 258, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (530) 403-9898.

Jeffrey Evan Moore is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881263622.

Contact Information

	Jeffrey Evan Moore, RD
	1121 Baywood Dr Apt 258, Petaluma, CA 94954-4587
	(530) 403-9898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Evan Moore
Gender	Male
Speciality	Dietitian, Registered
Location	1121 Baywood Dr Apt 258, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881263622
Provider Enumeration Date: 06/24/2021
Last Update Date: 06/24/2021

Medicare PECOS Information:

PECOS PAC ID: 3476908740
Enrollment ID: I20231006002671

Medical Identifiers

Medical identifiers for Jeffrey Evan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881263622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffrey Evan Moore allows following entities to bill medicare on his behalf.

Provider Name	Uhling Consulting, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609171636 PECOS PAC ID: 3870775232 Enrollment ID: O20110308000006

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. Jeffrey Evan 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
Jeffrey Evan Moore, RD 1121 Baywood Dr Apt 258, Petaluma, CA 94954-4587 Ph: () -	Jeffrey Evan Moore, RD 1121 Baywood Dr Apt 258, Petaluma, CA 94954-4587 Ph: (530) 403-9898

Reviews and Comments

Dietitian, Registered in Petaluma, CA

Ashley Shizu Nakagawa, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 Canterbury Ct, Petaluma, CA 94954 Phone: 707-228-8698
Stephanie Mendez, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 140 Vista View Pl, Petaluma, CA 94952 Phone: 562-964-2113
Laura Ruth Disharoon, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 Weller St Ste 4, Petaluma, CA 94952 Phone: 415-370-1654
Kristal Shelden, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Del Sol Ct, Petaluma, CA 94954 Phone: 707-484-5131
Jennifer Lane, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 207 S Mcdowell Blvd # 1063, Petaluma, CA 94954 Phone: 707-338-2474 Fax: 707-221-1688
Brittany Roman-green Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 140 Vista View Pl, Petaluma, CA 94952 Phone: 845-416-5074
Tiffany Torok, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1640 Northstar Dr, Petaluma, CA 94954 Phone: 415-845-8654

Jeffrey Evan Moore, RD - Medicare Dietitian in Petaluma, CA