Eloise Moore, is a
Student In An Organized Health Care Education/training Program based in Johns Island, South Carolina. Eloise Moore is licensed to practice in South Carolina (license number ) and her current practice location is
3658 Moonglow Dr, Johns Island, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 801-2970.
NPI number for Eloise Moore is 1578458568 and her current mailing address is 3658 Moonglow Dr, Johns Island, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578458568.
Provider's Profile
| Full Name | Eloise Moore |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3658 Moonglow Dr, Johns Island, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578458568
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Eloise Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578458568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (South Carolina) | 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. Eloise 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 |
|---|
Eloise Moore,
3658 Moonglow Dr,
Johns Island, SC 29455-7820
Ph: () - | Eloise Moore,
3658 Moonglow Dr,
Johns Island, SC 29455-7820
Ph: (843) 801-2970 |
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