Johnny Burton Moody Jr, FNP-BC in Gastonia, NC

Johnny Burton Moody Jr, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Gastonia, North Carolina. His current practice location is 3680 Robinwood Rd, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 869-9701.

Johnny Burton Moody Jr is licensed to practice in North Carolina (license number 5006262) 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 1326488875.

Contact Information

	Johnny Burton Moody Jr, FNP-BC
	3680 Robinwood Rd, Gastonia, NC 28054-1676
	(704) 869-9701
	Not Available

Map and Direction

Provider's Profile

Full Name	Johnny Burton Moody Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3680 Robinwood Rd, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326488875
Provider Enumeration Date: 06/28/2013
Last Update Date: 06/28/2013

Medicare PECOS Information:

PECOS PAC ID: 0840433108
Enrollment ID: I20130905000588

Medical Identifiers

Medical identifiers for Johnny Burton Moody Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326488875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5006262 (North Carolina)	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. Johnny Burton Moody Jr allows following entities to bill medicare on his behalf.

Entity Name	Renew Health South
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619548237 PECOS PAC ID: 5395148233 Enrollment ID: O20210729001401

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. Johnny Burton Moody Jr 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
Johnny Burton Moody Jr, FNP-BC 6903 Park Sharon Ct, Charlotte, NC 28210-4612 Ph: (828) 279-5381	Johnny Burton Moody Jr, FNP-BC 3680 Robinwood Rd, Gastonia, NC 28054-1676 Ph: (704) 869-9701

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150

Johnny Burton Moody Jr, FNP-BC - Medicare Nurse Practitioner in Gastonia, NC