Jodi-ann Camille Moore, PA is a medicare enrolled "Physician Assistant" physician in Cartersville, Georgia. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Skin Cancer And Cosmetic Dermatology Center Pc and her current practice location is
9 Medical Dr Ne Ste E, Cartersville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 227-1600.
Jodi-ann Camille Moore is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962658963.
Physician's Profile
| Full Name | Jodi-ann Camille Moore |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 9 Medical Dr Ne Ste E, Cartersville, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jodi-ann Camille Moore graduated from medical school in 2008
NPI Data:
- NPI Number: 1962658963
- Provider Enumeration Date: 08/11/2008
- Last Update Date: 05/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597832832
- Enrollment ID: I20080929000156
Medical Identifiers
Medical identifiers for Jodi-ann Camille Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962658963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 005365 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 005365 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Skin Cancer And Cosmetic Dermatology Center Pc | 3375591209 | 21 |
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. Jodi-ann Camille 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 |
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Jodi-ann Camille Moore, PA
9 Medical Dr Ne Ste E,
Cartersville, GA 30121-8003
Ph: (470) 227-1600 | Jodi-ann Camille Moore, PA
9 Medical Dr Ne Ste E,
Cartersville, GA 30121-8003
Ph: (470) 227-1600 |
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