Dr Justin Dean Moody, DO - Medicare Emergency Medicine in Saint Louis, MO

  1. Home
  2. Emergency Medicine
  3. MO
  4. Saint Louis
Dr Justin Dean Moody, DO is a medicare enrolled "Emergency Medicine" physician in Saint Louis, Missouri. His current practice location is 10010 Kennerly Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 525-1906.

Dr Justin Dean Moody is licensed to practice in Missouri (license number 2008014393) 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 1639370489.

Contact Information

Dr Justin Dean Moody, DO
10010 Kennerly Rd,
Saint Louis, MO 63128-2106
(314) 525-1906
Not Available

Map and Direction




Physician's Profile

Full NameDr Justin Dean Moody
GenderMale
SpecialityEmergency Medicine
Location10010 Kennerly Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639370489
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 10/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941386700
  • Enrollment ID: I20090501000126

Medical Identifiers

Medical identifiers for Dr Justin Dean Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639370489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036119226 (Illinois)Secondary
207P00000XEmergency Medicine 2008014393 (Missouri)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. Dr Justin Dean Moody allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Hospital South
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568481984
PECOS PAC ID: 8426962556
Enrollment ID: O20031113000592
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427098169
PECOS PAC ID: 1658276811
Enrollment ID: O20031209000789
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285664177
PECOS PAC ID: 3779479019
Enrollment ID: O20040224001164
Entity NameMercy Hospital Jefferson
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508859661
PECOS PAC ID: 1254248271
Enrollment ID: O20050518000926
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameCamden Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003181637
PECOS PAC ID: 2961665369
Enrollment ID: O20120523000037
Entity NameFenton Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770832792
PECOS PAC ID: 4789837923
Enrollment ID: O20130121000081
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325
Entity NameMercy Hospital Lincoln
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962808733
PECOS PAC ID: 5193040020
Enrollment ID: O20150623002541
Entity NameMercy Aco Clinical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063965093
PECOS PAC ID: 6901188572
Enrollment ID: O20170117001888

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. Dr Justin Dean 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 AddressPractice Location Address
Dr Justin Dean Moody, DO
Po Box 776084,
Chicago, IL 60677-6084

Ph: (314) 364-4200		Dr Justin Dean Moody, DO
10010 Kennerly Rd,
Saint Louis, MO 63128-2106

Ph: (314) 525-1906

Reviews and Comments


Emergency Medicine Doctors in Saint Louis, MO

Sean Oliver Cavanaugh, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110
Phone: 314-362-9177    
John Verhey, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110
Phone: 314-362-9177    
Dr. Mackenzie Ann Mcknight, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110
Phone: 314-362-9177    
Nagla Abdelmalek, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136
Phone: 314-653-5663    
Dr. Jose I Alvarez, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6150 Oakland Ave, Saint Louis, MO 63139
Phone: 314-768-3090    Fax: 314-768-3031
Addie Burtle, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110
Phone: 314-362-9177    
Rahul Gupta, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128
Phone: 314-525-1906    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.