| Mr Thomas U Moody Sr, PHYSICIAN ASSISTANT | |
|
21017 State Route 12f, Watertown, NY 13601-1078 | |
| (315) 786-3436 | |
| Not Available |
| Full Name | Mr Thomas U Moody Sr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 21017 State Route 12f, Watertown, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467534396 | NPI | - | NPPES |
| 4151147 | Other | NY | MVP HEALTHCARE PIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | OO9271 (New York) | Primary |
| 363AM0700X | Physician Assistant - Medical | 001884 (Connecticut) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas U Moody Sr, PHYSICIAN ASSISTANT 26775 Anabel Ave, Evans Mills, NY 13637-3212 Ph: (315) 629-1443 | Mr Thomas U Moody Sr, PHYSICIAN ASSISTANT 21017 State Route 12f, Watertown, NY 13601-1078 Ph: (315) 786-3436 |
Jamie Miller, Physician Assistant Medicare: Medicare Enrolled Practice Location: 18969 Us Route 11, Watertown, NY 13601 Phone: 315-782-4391 Fax: 315-782-4387 | |
Carrie A Guga, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 727 Washington St, Watertown, NY 13601 Phone: 315-785-7009 Fax: 315-785-8566 | |
Jeffrey Clinton Krauss, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-786-4813 | |
Noah Gates, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4000 | |
Christopher Michael Mueller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1571 Washington St Ste 201, Watertown, NY 13601 Phone: 315-782-1650 Fax: 315-788-8547 | |
Ms. Maria Noelle Alicea, MS, RPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1575 Washington St, Watertown, NY 13601 Phone: 315-786-7300 Fax: 315-786-7310 | |
Ms. Alta Louise Watkins, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 513 Washington St, Suite 1, Watertown, NY 13601 Phone: 315-788-2211 Fax: 315-788-0956 |