Lacey Moody, | |
3964 Goodman Rd E, Suite 111, Southaven, MS 38672-8761 | |
(662) 890-6953 | |
(662) 890-6954 |
Full Name | Lacey Moody |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 3964 Goodman Rd E, Southaven, Mississippi |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083025001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5426 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aegis Group Practice Llc | 5193036432 | 284 |
Provider Name | Empowerme Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467023861 PECOS PAC ID: 2769723162 Enrollment ID: O20210928002596 |
Provider Name | Onr National Speech Pathology Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20211027000663 |
Provider Name | Ave Maria Home |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831250604 PECOS PAC ID: 2365518909 Enrollment ID: O20211028001255 |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174308647 PECOS PAC ID: 5193036432 Enrollment ID: O20231018002544 |
Mailing Address | Practice Location Address |
---|---|
Lacey Moody, 2001 Mallory Ln, Suite 201, Franklin, TN 37067-8233 Ph: (615) 373-1350 | Lacey Moody, 3964 Goodman Rd E, Suite 111, Southaven, MS 38672-8761 Ph: (662) 890-6953 |
Parker P Haberstroh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029 | |
Michael Newton Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672 Phone: 662-890-6953 | |
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694 | |
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099 | |
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Mrs. Jennifer Dixon Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 Fax: 901-759-3216 |