Mrs Jennifer E Moore, MS, RDN, LDN, CSR in Southaven, MS - Medicare Dietitian, Registered Provider

Mrs Jennifer E Moore, MS, RDN, LDN, CSR is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in Southaven, Mississippi. Her current practice location is 3870 Liscott Rd, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (702) 533-2259.

Mrs Jennifer E Moore is licensed to practice in Tennessee (license number LDN0000001086) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023271962.

Contact Information

	Mrs Jennifer E Moore, MS, RDN, LDN, CSR
	3870 Liscott Rd, Southaven, MS 38672-6780
	(702) 533-2259
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer E Moore
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Renal
Location	3870 Liscott Rd, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023271962
Provider Enumeration Date: 07/09/2008
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 2769544824
Enrollment ID: I20240510002301

Medical Identifiers

Medical identifiers for Mrs Jennifer E Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023271962	NPI	-	NPPES
0853	Other	MS	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1005X	Dietitian, Registered - Nutrition, Renal	LDN0000001086 (Tennessee)	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. Mrs Jennifer E Moore allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Mrs Jennifer E 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
Mrs Jennifer E Moore, MS, RDN, LDN, CSR 3870 Liscott Rd, Southaven, MS 38672-6780 Ph: (702) 533-2259	Mrs Jennifer E Moore, MS, RDN, LDN, CSR 3870 Liscott Rd, Southaven, MS 38672-6780 Ph: (702) 533-2259

Reviews and Comments

Dietitian, Registered in Southaven, MS

Sarah Gehring Provence, MS, RD, LDN, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 2150 Dickens Place Dr, Southaven, MS 38672 Phone: 901-387-7314
Mr. John Michael Dudley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6856 Cobblestone Blvd, Southaven, MS 38672 Phone: 888-416-0008
Mrs. Shirley T Davis, RDN LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6856 Cobblestone Blvd, Southaven, MS 38672 Phone: 888-416-0008 Fax: 888-416-0009
Mrs. Emily Kesler Schwartz, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-3185 Fax: 662-772-3197
Jamarcus B Frazier, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 8416 Inverness Dr, Southaven, MS 38672 Phone: 901-210-1523
Miss Alissa M Villarrubia, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-3188

Mrs Jennifer E Moore, MS, RDN, LDN, CSR - Medicare Dietitian in Southaven, MS