Mrs Julie Raye Moody, PMHNP | |
393 E 2nd N, Rexburg, ID 83440-1605 | |
(208) 359-4840 | |
(208) 359-9010 |
Full Name | Mrs Julie Raye Moody |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 393 E 2nd N, Rexburg, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508530676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 69140 (Idaho) | Primary |
Entity Name | Centerpoint Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134458102 PECOS PAC ID: 1456754373 Enrollment ID: O20210729000324 |
Mailing Address | Practice Location Address |
---|---|
Mrs Julie Raye Moody, PMHNP 393 E 2nd N, Rexburg, ID 83440-1605 Ph: (208) 359-4840 | Mrs Julie Raye Moody, PMHNP 393 E 2nd N, Rexburg, ID 83440-1605 Ph: (208) 359-4840 |
Bryce Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900 | |
Troy Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Annette Mary Tuft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 N 2nd E, Rexburg, ID 83440 Phone: 208-359-1770 Fax: 208-359-1780 | |
Beyron Alexis Zecher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900 | |
Nichole Ann Jeppesen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Madison Professional Park, Rexburg, ID 83440 Phone: 208-656-9467 Fax: 208-656-9466 | |
Mr. Jeremiah Robins Clark, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Pioneer Rd Apt 1320, Rexburg, ID 83440 Phone: 269-428-7228 | |
Arleigh Nash, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-359-1600 |