Dr Jorge Luis Moreno Sr, MD is a
General Practice physician based in Jackson, Georgia. Dr Jorge Luis Moreno Sr is licensed to practice in Georgia (license number 022255) and his current practice location is 375 Mcdonough Rd, Jackson, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 775-4622.
NPI number for Dr Jorge Luis Moreno Sr is 1518904242 and his current mailing address is 375 Mcdonough Rd, Jackson, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518904242.
Physician's Profile
| Full Name | Dr Jorge Luis Moreno Sr |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 375 Mcdonough Rd, Jackson, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518904242
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 07/01/2014
Medical Identifiers
Medical identifiers for Dr Jorge Luis Moreno Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518904242 | NPI | - | NPPES |
| 00211549A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 022255 (Georgia) | 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. Dr Jorge Luis Moreno Sr 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 |
Dr Jorge Luis Moreno Sr, MD 375 Mcdonough Rd, Jackson, GA 30233-1509 Ph: (770) 775-4622 | Dr Jorge Luis Moreno Sr, MD 375 Mcdonough Rd, Jackson, GA 30233-1509 Ph: (770) 775-4622 |
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