Ceola P Moore, is a
Registered Nurse based in Newhebron, Mississippi. Ceola P Moore is licensed to practice in Mississippi (license number 905792) and her current practice location is
628 N Pleasant Hill Rd, Newhebron, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 260-4277.
NPI number for Ceola P Moore is 1922566256 and her current mailing address is 628 N Pleasant Hill Rd, Newhebron, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922566256.
Provider's Profile
| Full Name | Ceola P Moore |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 628 N Pleasant Hill Rd, Newhebron, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922566256
- Provider Enumeration Date: 03/05/2019
- Last Update Date: 04/09/2022
Medical Identifiers
Medical identifiers for Ceola P Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922566256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 905792 (Mississippi) | 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. Ceola P Moore 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 |
|---|
Ceola P Moore,
628 N Pleasant Hill Rd,
Newhebron, MS 39140-4028
Ph: (601) 260-4277 | Ceola P Moore,
628 N Pleasant Hill Rd,
Newhebron, MS 39140-4028
Ph: (601) 260-4277 |
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