Sandra Moon, is a
Licensed Practical Nurse based in Forney, Texas. Sandra Moon is licensed to practice in Texas (license number 228169) and her current practice location is
2296 Torch Lake Dr, Forney, Texas. She can be reached at her office (for appointments etc.) via phone at
(413) 847-1561.
NPI number for Sandra Moon is 1649893322 and her current mailing address is 2296 Torch Lake Dr, Forney, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649893322.
Provider's Profile
| Full Name | Sandra Moon |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 2296 Torch Lake Dr, Forney, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649893322
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 05/28/2020
Medical Identifiers
Medical identifiers for Sandra Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649893322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 228169 (Texas) | 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. Sandra Moon 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 |
|---|
Sandra Moon,
2296 Torch Lake Dr,
Forney, TX 75126-0877
Ph: () - | Sandra Moon,
2296 Torch Lake Dr,
Forney, TX 75126-0877
Ph: (413) 847-1561 |
Reviews and Comments