Terry Lee Mooty, CAA in Savannah, GA - Medicare Anesthesiologist Assistant

Terry Lee Mooty, CAA is a medicare enrolled "Anesthesiologist Assistant" in Savannah, Georgia. His current practice location is 11705 Mercy Blvd, Savannah, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 819-4100.

Terry Lee Mooty is licensed to practice in Georgia (license number 11210) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508588948.

Contact Information

	Terry Lee Mooty, CAA
	11705 Mercy Blvd, Savannah, GA 31419-1711
	(912) 819-4100
	Not Available

Map and Direction

Provider's Profile

Full Name	Terry Lee Mooty
Gender	Male
Speciality	Anesthesiologist Assistant
Location	11705 Mercy Blvd, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508588948
Provider Enumeration Date: 09/13/2022
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 4789050444
Enrollment ID: I20221020001649

Medical Identifiers

Medical identifiers for Terry Lee Mooty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508588948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	11210 (Georgia)	Primary
367H00000X	Anesthesiologist Assistant	(* (Not Available))	Secondary

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. Terry Lee Mooty allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Associates Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Terry Lee Mooty 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
Terry Lee Mooty, CAA 208 Falligant Ave, Savannah, GA 31410-1414 Ph: (319) 239-2743	Terry Lee Mooty, CAA 11705 Mercy Blvd, Savannah, GA 31419-1711 Ph: (912) 819-4100

Reviews and Comments

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Terry Lee Mooty, CAA - Medicare Anesthesiologist Assistant in Savannah, GA