Jesse Kincaid Moore, in Gig Harbor, WA - Medicare Speech-Language Pathologist Provider

Jesse Kincaid Moore, is a medicare enrolled "Speech-language Pathologist" provider in Gig Harbor, Washington. His current practice location is 4340 Borgen Blvd, Gig Harbor, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 313-0704.

Jesse Kincaid Moore is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649750613.

Contact Information

	Jesse Kincaid Moore,
	4340 Borgen Blvd, Gig Harbor, WA 98332-7000
	(253) 313-0704
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse Kincaid Moore
Gender	Male
Speciality	Speech-language Pathologist
Location	4340 Borgen Blvd, Gig Harbor, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649750613
Provider Enumeration Date: 08/18/2018
Last Update Date: 08/18/2018

Medicare PECOS Information:

PECOS PAC ID: 8527457324
Enrollment ID: I20211117001224

Medical Identifiers

Medical identifiers for Jesse Kincaid Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649750613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jesse Kincaid Moore allows following entities to bill medicare on his behalf.

Provider Name	Physician Affiliate Group Of New York Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270

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. Jesse Kincaid Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jesse Kincaid Moore, 4340 Borgen Blvd, Gig Harbor, WA 98332-7000 Ph: () -	Jesse Kincaid Moore, 4340 Borgen Blvd, Gig Harbor, WA 98332-7000 Ph: (253) 313-0704

Reviews and Comments

Speech-Language Pathologist in Gig Harbor, WA

Brynne Fredricksen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Point Fosdick Dr, Gig Harbor, WA 98335 Phone: 253-792-6630
Mrs. Elizabeth Ann Comstock, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 410 33rd Ave Nw, Gig Harbor, WA 98335 Phone: 253-380-3181
Carol Davis, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40th St Ct Nw, Artondale Elementary School, Gig Harbor, WA 98335 Phone: 253-279-7069
Pamela Rosendahl, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14015 62nd Ave Nw, Gig Harbor, WA 98332 Phone: 253-265-0700
Frances Haberstro, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14015 62nd Ave Nw, Gig Harbor, WA 98332 Phone: 253-530-1088 Fax: 253-530-1085
Communication Therapies Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3309 56th St Ste 106, Gig Harbor, WA 98335 Phone: 253-331-0033 Fax: 888-613-1087
Kira Alyssa Lowrance, MS-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 5202 Olympic Dr Ste 100, Gig Harbor, WA 98335 Phone: 253-851-0007

Jesse Kincaid Moore, - Medicare Speech-Language Pathologist in Gig Harbor, WA