Mrs Lacey Dively Moy, MD in Springfield, IL

Mrs Lacey Dively Moy, MD is a medicare enrolled "Family Medicine" physician in Springfield, Illinois. She went to Rush Medical College Of Rush University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Memorial Physician Services and her current practice location is 3220 Atlanta St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 588-7400.

Mrs Lacey Dively Moy is licensed to practice in Illinois (license number 036129248) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013144021.

Contact Information

	Mrs Lacey Dively Moy, MD
	3220 Atlanta St, Springfield, IL 62707-8801
	(217) 588-7400
	(217) 588-7439

Map and Direction

Physician's Profile

Full Name	Mrs Lacey Dively Moy
Gender	Female
Speciality	Family Practice
Experience	15 Years
Location	3220 Atlanta St, Springfield, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lacey Dively Moy attended and graduated from Rush Medical College Of Rush University in 2009

NPI Data:

NPI Number: 1013144021
Provider Enumeration Date: 06/17/2009
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7618138413
Enrollment ID: I20120420000378

Medical Identifiers

Medical identifiers for Mrs Lacey Dively Moy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013144021	NPI	-	NPPES
036.129248	Other	IL	MD LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036129248 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital
St Johns Hospital	Springfield, IL	Hospital
Villa Health Care East	Sherman, IL	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Physician Services	9032005681	165

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. Mrs Lacey Dively Moy allows following entities to bill medicare on her behalf.

Entity Name	Memorial Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454

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. Mrs Lacey Dively Moy 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
Mrs Lacey Dively Moy, MD 3220 Atlanta St, Springfield, IL 62707-8801 Ph: (217) 588-7400	Mrs Lacey Dively Moy, MD 3220 Atlanta St, Springfield, IL 62707-8801 Ph: (217) 588-7400

Reviews and Comments

Family Medicine Doctors in Springfield, IL

Dr. Kaitlin Delaney Henry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541
Mark T. Mckay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541
Dr. Jennifer E. Richards, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-793-9960
Dr. Hari Iyengar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100
Dr. Jamie Wallman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701 Phone: 217-545-8000
Janet R Albers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-8161

Mrs Lacey Dively Moy, MD - Medicare Family Practice in Springfield, IL