Kasey Wren Floyd Moore, is a
Student In An Organized Health Care Education/training Program based in Lake City, South Carolina. Kasey Wren Floyd Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
604 E Main St, Lake City, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 460-3254.
NPI number for Kasey Wren Floyd Moore is 1144115239 and her current mailing address is 604 E Main St, Lake City, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144115239.
Provider's Profile
| Full Name | Kasey Wren Floyd Moore |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 604 E Main St, Lake City, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144115239
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Kasey Wren Floyd Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144115239 | 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 | (* (Not Available)) | 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. Kasey Wren Floyd 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 |
|---|
Kasey Wren Floyd Moore,
604 E Main St,
Lake City, SC 29560-2228
Ph: () - | Kasey Wren Floyd Moore,
604 E Main St,
Lake City, SC 29560-2228
Ph: (803) 460-3254 |
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