Dr Willis E Moody Iii, MD | |
191 Deep South Farm Rd, Blairsville, GA 30512-2220 | |
(706) 781-6950 | |
Not Available |
Full Name | Dr Willis E Moody Iii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 191 Deep South Farm Rd, Blairsville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497736664 | NPI | - | NPPES |
000570534D | Other | GA | MEDICAID |
839014891 | Medicaid | GA | |
1487774261 | Other | GA | GROUP NPI |
386024 | Other | GA | WELLCARE |
20-5788381 | Other | GA | TAX ID |
GRP8005 | Other | GA | GROUP IDENTIFIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 058708 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Union General Hospital | Blairsville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Chatuge Regional Hospital | Hiawassee, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Union General Affiliated Services, Llc | 4688927106 | 21 |
Entity Name | Georgia Mountain Surgical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487774261 PECOS PAC ID: 9638274640 Enrollment ID: O20070420000031 |
Entity Name | Union General Affiliated Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902305063 PECOS PAC ID: 4688927106 Enrollment ID: O20181031001616 |
Mailing Address | Practice Location Address |
---|---|
Dr Willis E Moody Iii, MD 35 Hospital Rd, Blairsville, GA 30512-3139 Ph: (706) 745-2111 | Dr Willis E Moody Iii, MD 191 Deep South Farm Rd, Blairsville, GA 30512-2220 Ph: (706) 781-6950 |
Dr. William Henry Frazier, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 123 Weaver Road, Suite B, Blairsville, GA 30512 Phone: 706-439-6486 Fax: 706-745-7271 | |
Clifford T Thompson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 191 Deep South Farm Rd, Blairsville, GA 30512 Phone: 706-781-6950 | |
Jonathan A Bloch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 191 Deep South Farm Rd, Blairsville, GA 30512 Phone: 706-781-6950 |