| Jayden Renee Moore, | |
|
1941 S Baney Rd Ste 300, Ashland, OH 44805-4507 | |
| (419) 207-2663 | |
| Not Available |
| Full Name | Jayden Renee Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1941 S Baney Rd Ste 300, Ashland, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205722824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.009476RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Samaritan Medical Center | Ashland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 1071 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayden Renee Moore, 6614 Mccartney Rd, Sandusky, OH 44870-8394 Ph: (419) 515-7050 | Jayden Renee Moore, 1941 S Baney Rd Ste 300, Ashland, OH 44805-4507 Ph: (419) 207-2663 |
Lynzi Feaster, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 College Ave, Ashland, OH 44805 Phone: 419-521-6854 |
Justin Stentz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1057 Deer Xing, Ashland, OH 44805 Phone: 440-668-7556 |
Makayla Faith Tarkenton, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 814 Edgehill Ave, Ashland, OH 44805 Phone: 717-208-0131 |
Bernadette E Bogner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1025 Center St, Ashland, OH 44805 Phone: 866-916-5259 Fax: 231-922-4030 |
Mrs. Heidi Joy Bird, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2021 S Baney Rd, Ashland, OH 44805 Phone: 419-289-1133 |
Tessa Baker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1851 Miller Loop N Unit 1893, Ashland, OH 44805 Phone: 248-977-7659 |
Chad Kaufman, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1025 Center St, Ashland, OH 44805 Phone: 419-289-0491 |