Mr David Moody, CRNA | |
3401 Ludington St, Escanaba, MI 49829-1300 | |
(906) 786-5707 | |
Not Available |
Full Name | Mr David Moody |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3401 Ludington St, Escanaba, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295194280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704134919 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704134919 (Michigan) | Primary |
Entity Name | Munson Healthcare Otsego Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376568865 PECOS PAC ID: 8325942535 Enrollment ID: O20050301000744 |
Entity Name | Mackinac Straits Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
Mailing Address | Practice Location Address |
---|---|
Mr David Moody, CRNA 825 N Center Ave, Gaylord, MI 49735-1592 Ph: () - | Mr David Moody, CRNA 3401 Ludington St, Escanaba, MI 49829-1300 Ph: (906) 786-5707 |
Angela Burdick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 Ludington St, Escanaba, MI 49829 Phone: 906-786-3311 | |
David Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 Ludington St, Escanaba, MI 49829 Phone: 906-786-3311 | |
Ms. Dorothea Margaret Case, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 Ludington St, Escanaba, MI 49829 Phone: 906-786-3311 |