Individual
JANE GREENFIELD MOSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
100 VETERANS DR, WILMORE, KY 40390-9775
(859) 858-2814
(859) 258-8610
Mailing address
100 VETERANS DR, WILMORE, KY 40390-9775
(859) 858-2814
(859) 258-8610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA017
KY
363AM0700X
Medical Physician Assistant
PA017
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
95000170
—
KY
01
—
CB5773
RR MEDICARE GROUP
—
01
—
P00012192
RR MEDICARE PIN
—
Enumeration date
09/13/2006
Last updated
08/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us