Stacy Renae Moody, DMD in Granite City, IL

Stacy Renae Moody, DMD is a medicare enrolled "Dentist - General Practice" provider in Granite City, Illinois. Her current practice location is 3120 Maryville Rd, Granite City, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 797-9940.

Stacy Renae Moody is licensed to practice in Illinois (license number 019026581) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700984317.

Contact Information

	Stacy Renae Moody, DMD
	3120 Maryville Rd, Granite City, IL 62040-5189
	(618) 797-9940
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Renae Moody
Gender	Female
Speciality	Dentist - General Practice
Location	3120 Maryville Rd, Granite City, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700984317
Provider Enumeration Date: 09/20/2006
Last Update Date: 10/30/2013

Medicare PECOS Information:

PECOS PAC ID: 7911904180
Enrollment ID: I20151210002641

Medical Identifiers

Medical identifiers for Stacy Renae Moody such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700984317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019026581 (Illinois)	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. Stacy Renae Moody 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
Stacy Renae Moody, DMD 3120 Maryville Rd, Granite City, IL 62040-5189 Ph: (618) 797-9940	Stacy Renae Moody, DMD 3120 Maryville Rd, Granite City, IL 62040-5189 Ph: (618) 797-9940

Reviews and Comments

Dentist in Granite City, IL

Dr. William H Chen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4168 Nameoki Road, Granite City, IL 62040 Phone: 618-931-2025 Fax: 618-931-8888
Dr. David Alan Diak, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1911 Johnson Rd, Suite # 1, Granite City, IL 62040 Phone: 618-877-3434 Fax: 618-877-3434
Dr. Gary M. Lindsay, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1820 Delmar Ave, Granite City, IL 62040 Phone: 618-877-4488 Fax: 618-877-4487
Albert Willliam Trtanj, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1820 Delmar Ave, Granite City, IL 62040 Phone: 618-877-4488 Fax: 618-877-4487
Dr. Bill F Mcmasters, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2133 Pontoon Rd, Granite City, IL 62040 Phone: 618-931-6080
Dr. Dipali D Thakker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3429 Nameoki Rd, Granite City, IL 62040 Phone: 618-452-2006 Fax: 618-452-2077
Dr. Stephen C Anderson, D.D,S, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2133 Pontoon Rd, Granite City, IL 62040 Phone: 618-931-2400

Stacy Renae Moody, DMD - Medicare Dentist in Granite City, IL