Mary Gail Moody, RN, FNP is a medicare enrolled "Nurse Practitioner" in Kenedy, Texas. Her current practice location is
113 W Main St, Kenedy, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 583-0627.
Mary Gail Moody is licensed to practice in Texas (license number AP106303) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487697660.
Provider's Profile
Full Name | Mary Gail Moody |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 113 W Main St, Kenedy, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487697660
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406824523
- Enrollment ID: I20140512000557
Medical Identifiers
Medical identifiers for Mary Gail Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487697660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 240005 (Texas) | Secondary |
363L00000X | Nurse Practitioner | AP106303 (Texas) | 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. Mary Gail Moody allows following entities to bill medicare on her behalf.
Entity Name | Dewitt Medical District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366532608 PECOS PAC ID: 3072421395 Enrollment ID: O20031202000088 |
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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. Mary Gail 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 |
Mary Gail Moody, RN, FNP 113 W Main St, Kenedy, TX 78119-2717 Ph: (830) 583-0627 | Mary Gail Moody, RN, FNP 113 W Main St, Kenedy, TX 78119-2717 Ph: (830) 583-0627 |
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