Mary Caitlyn Moody, DPT in Tupelo, MS - Medicare Physical Therapist Provider

Mary Caitlyn Moody, DPT is a medicare enrolled "Physical Therapist" provider in Tupelo, Mississippi. Her current practice location is 960 Commonwealth Blvd, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 260-3789.

Mary Caitlyn Moody is licensed to practice in Mississippi (license number PT6968) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174139265.

Contact Information

	Mary Caitlyn Moody, DPT
	960 Commonwealth Blvd, Tupelo, MS 38804-3880
	(662) 260-3789
	(662) 290-3790

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Caitlyn Moody
Gender	Female
Speciality	Physical Therapist
Location	960 Commonwealth Blvd, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174139265
Provider Enumeration Date: 09/23/2020
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5698194991
Enrollment ID: I20201006003219

Medical Identifiers

Medical identifiers for Mary Caitlyn Moody such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174139265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6968 (Mississippi)	Primary

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. Mary Caitlyn Moody allows following entities to bill medicare on her behalf.

Provider Name	Dpti Elite Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144

Provider Name	Drayer Physical Therapy Mississippi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040

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. Mary Caitlyn 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
Mary Caitlyn Moody, DPT 7065 Airways Blvd Ste 110, Southaven, MS 38671-5874 Ph: () -	Mary Caitlyn Moody, DPT 960 Commonwealth Blvd, Tupelo, MS 38804-3880 Ph: (662) 260-3789

Reviews and Comments

Physical Therapist in Tupelo, MS

Tupelo Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1743 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-680-5216
Molly Bryan Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 154 Merritt Dr, Tupelo, MS 38801 Phone: 785-826-6134
John Everett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4058
Jennifer L Rodabough, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Southridge Dr, Tupelo, MS 38801 Phone: 662-407-0801 Fax: 662-407-0807
Lisa Ross, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100
Mr. Mark Chapin Bresee, MPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100 Fax: 662-842-2105
Michael Scott Childers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523 Fax: 662-432-1528

Mary Caitlyn Moody, DPT - Medicare Physical Therapist in Tupelo, MS