Jackie Rena Moore, BHRS - Psychologist in Spencer, OK

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Jackie Rena Moore, BHRS is a Psychologist - Rehabilitation based in Spencer, Oklahoma. Jackie Rena Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is 5721 Oakwood St, Spencer, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (405) 413-8416.

NPI number for Jackie Rena Moore is 1750632782 and her current mailing address is 5721 Oakwood St, Spencer, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750632782.

Contact Information

Jackie Rena Moore, BHRS
5721 Oakwood St,
Spencer, OK 73084-8638
(405) 413-8416
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJackie Rena Moore
GenderFemale
SpecialityPsychologist - Rehabilitation
Location5721 Oakwood St, Spencer, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750632782
  • Provider Enumeration Date: 10/01/2012
  • Last Update Date: 10/01/2012

Medical Identifiers

Medical identifiers for Jackie Rena Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750632782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TR0400XPsychologist - Rehabilitation (* (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. Jackie Rena 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 AddressPractice Location Address
Jackie Rena Moore, BHRS
5721 Oakwood St,
Spencer, OK 73084-8638

Ph: (405) 413-8416		Jackie Rena Moore, BHRS
5721 Oakwood St,
Spencer, OK 73084-8638

Ph: (405) 413-8416

Reviews and Comments


Psychologist in Spencer, OK

Ms. Florence Yvonne Alexander, LADC, LPC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 12724 Ne 38th, Spencer, OK 73084
Phone: 405-769-4626    
Mrs. Tiffany Clevette Black,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3447 Cobblestone Ct, Spencer, OK 73084
Phone: 405-243-5514    

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