Derick W Moody, PA is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Springville, Utah. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cedar Psychiatry Llc and his current practice location is
672 W 400 S Ste 201, Springville, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 369-8989.
Derick W Moody is licensed to practice in Utah (license number 8820342-1206) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235551409.
Provider's Profile
| Full Name | Derick W Moody |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 672 W 400 S Ste 201, Springville, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Derick W Moody graduated from nursing school in 2013
NPI Data:
- NPI Number: 1235551409
- Provider Enumeration Date: 01/07/2014
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779713961
- Enrollment ID: I20140310000718
Medical Identifiers
Medical identifiers for Derick W Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235551409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 8820342-1206 (Utah) | Primary |
| 363A00000X | Physician Assistant | 8820342-1206 (Utah) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cedar Psychiatry Llc | 2163750688 | 37 |
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. Derick W 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 |
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Derick W Moody, PA
672 W 400 S, Ste 201,
Springville, UT 84663-3170
Ph: (801) 812-4673 | Derick W Moody, PA
672 W 400 S Ste 201,
Springville, UT 84663-3170
Ph: (801) 369-8989 |
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