| David Lawrence Moody, MD | |
|
1071 E Franklin St, Carthage, MS 39051-3601 | |
| (601) 267-4562 | |
| (601) 267-4589 |
| Full Name | David Lawrence Moody |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 1071 E Franklin St, Carthage, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346359197 | NPI | - | NPPES |
| 00017434 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 08774 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Carthage, MS | Home health agency |
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Quality Hospice Care, Inc | Philadelphia, MS | Hospice |
| Baptist Medical Center-leake | Carthage, MS | Hospital |
| Neshoba County General Hospital | Philadelphia, MS | Hospital |
| Choctaw Residential Center | Choctaw, MS | Nursing home |
| Trend Health & Rehab Of Carthage Llc | Carthage, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madden Medical Clinic, Llc | 4880663863 | 3 |
| Entity Name | Madden Medical Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114099439 PECOS PAC ID: 4880663863 Enrollment ID: O20040927000856 |
| Entity Name | Vytalize Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568083533 PECOS PAC ID: 9032532395 Enrollment ID: O20200706002467 |
| Mailing Address | Practice Location Address |
|---|---|
| David Lawrence Moody, MD Po Box 435, Carthage, MS 39051-0435 Ph: (601) 267-3625 | David Lawrence Moody, MD 1071 E Franklin St, Carthage, MS 39051-3601 Ph: (601) 267-4562 |
Dr. Jonathan Malone Buchanan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Highway 16 E, Carthage, MS 39051 Phone: 601-267-1470 Fax: 601-267-1469 | |
Jordan Tyler Jackson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Highway 16 E, Carthage, MS 39051 Phone: 601-267-1470 Fax: 601-267-1469 |