Matthew Dale Moody, is a
Case Manager/care Coordinator based in Lebanon, New Hampshire. Matthew Dale Moody is licensed to practice in Vermont (license number ) and his current practice location is
9 Hanover St Ste 2, Lebanon, New Hampshire. He can be reached at his office (for appointments etc.) via phone at
(603) 448-0126.
NPI number for Matthew Dale Moody is 1396308912 and his current mailing address is 31 Brook St Apt 2, Barre, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396308912.
Healthcare Provider's Profile
Full Name | Matthew Dale Moody |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 9 Hanover St Ste 2, Lebanon, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396308912
- Provider Enumeration Date: 04/18/2019
- Last Update Date: 08/11/2020
Medical Identifiers
Medical identifiers for Matthew Dale Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396308912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (Texas) | Secondary |
175T00000X | Peer Specialist | 2512019 (Texas) | Secondary |
171M00000X | Case Manager/care Coordinator | (Vermont) | 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. Matthew Dale Moody is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Matthew Dale Moody, 31 Brook St Apt 2, Barre, VT 05641-3457 Ph: (817) 798-5831 | Matthew Dale Moody, 9 Hanover St Ste 2, Lebanon, NH 03766-1312 Ph: (603) 448-0126 |
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