Mrs Shirley Moody, PA is a
Physician Assistant based in Tuscola, Illinois. Mrs Shirley Moody is licensed to practice in Illinois (license number 085-002240) and her current practice location is
625 E Us Highway 36, Tuscola, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 253-1235.
NPI number for Mrs Shirley Moody is 1770700585 and her current mailing address is 5414 Woodard School Road, Salem, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770700585.
Provider's Profile
Full Name | Mrs Shirley Moody |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 625 E Us Highway 36, Tuscola, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770700585
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 02/11/2009
Medical Identifiers
Medical identifiers for Mrs Shirley Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770700585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085-002240 (Illinois) | Primary |
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. Mrs Shirley Moody is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shirley Moody, PA 5414 Woodard School Road, Salem, IL 62881-4548 Ph: (618) 548-0405 | Mrs Shirley Moody, PA 625 E Us Highway 36, Tuscola, IL 61953-7505 Ph: (217) 253-1235 |
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