Samantha Jo Moody, FNP-C - Medicare Nurse Practitioner in Centreville, MI

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Samantha Jo Moody, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Centreville, Michigan. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Covered Bridge Healthcare Of St. Joseph County Inc and her current practice location is 658 E Main St, Centreville, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 467-3228.

Samantha Jo Moody is licensed to practice in Michigan (license number 4704314094) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093316663.

Contact Information

Samantha Jo Moody, FNP-C
658 E Main St,
Centreville, MI 49032-9627
(269) 467-3228
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Jo Moody
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location658 E Main St, Centreville, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Jo Moody graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1093316663
  • Provider Enumeration Date: 11/02/2020
  • Last Update Date: 11/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416360318
  • Enrollment ID: I20210114001307

Medical Identifiers

Medical identifiers for Samantha Jo Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093316663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704314094 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Three Rivers HealthThree rivers, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Covered Bridge Healthcare Of St. Joseph County Inc65071577733

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. Samantha Jo Moody allows following entities to bill medicare on her behalf.
Entity NameCovered Bridge Healthcare Of St. Joseph County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063876910
PECOS PAC ID: 6507157773
Enrollment ID: O20170602000434

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. Samantha Jo 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 AddressPractice Location Address
Samantha Jo Moody, FNP-C
25 Linda Ln,
Coldwater, MI 49036-1035

Ph: (269) 625-0177		Samantha Jo Moody, FNP-C
658 E Main St,
Centreville, MI 49032-9627

Ph: (269) 467-3228

Reviews and Comments


Nurse Practitioner Nurses in Centreville, MI

Mrs. Abigail Workman, MSN, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 658 E Main St, Centreville, MI 49032
Phone: 269-467-3228    
Karen Ann Newsome, RN, MSN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 677 E Main St, Centreville, MI 49032
Phone: 269-467-1000    
Prabhjot Grewal,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 677 E Main St, Centreville, MI 49032
Phone: 269-467-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.