Shontae Moody, PA is a medicare enrolled "Physician Assistant" in Williamstown, New Jersey. Her current practice location is
979 N Black Horse Pike, Williamstown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 629-5151.
Shontae Moody is licensed to practice in New Jersey (license number 25MP00385300) 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 1952730970.
Provider's Profile
| Full Name | Shontae Moody |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 979 N Black Horse Pike, Williamstown, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shontae Moody attended and graduated from in
NPI Data:
- NPI Number: 1952730970
- Provider Enumeration Date: 11/12/2013
- Last Update Date: 12/20/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shontae Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952730970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | MA056299 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | 25MP00385300 (New Jersey) | 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. Shontae 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 Address | Practice Location Address |
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Shontae Moody, PA
401 Route 73 N Bldg 10, Suite 320,
Marlton, NJ 08053
Ph: (856) 872-7055 | Shontae Moody, PA
979 N Black Horse Pike,
Williamstown, NJ 08094-1044
Ph: (856) 629-5151 |
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