Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Marissa Moore, MD

Individual provider Family Medicine Physician · NPI 1295297638

Marissa Moore, MD is registered under Family Practice in Mandeville, Louisiana. Qualified in 2019, 7 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Louisiana and Michigan.

Years since qualifying
7
Licensed in
LA, MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 Saint Ann Dr Ste B
Mandeville, LA 70471-3472
Phone: (985) 898-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301514377 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 333248 (LA)

Record details

NPI number1295297638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESSeptember 12, 2026
Certification dateSeptember 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients125
Services billed 292 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Henry Ford Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2540 clinicians in the practice; 12 are shown here.

Other providers in Mandeville