| Dr Matthew Todd Moody, DO | |
|
901 Mountain View Dr, Shelton, WA 98584-4401 | |
| (360) 426-1611 | |
| Not Available |
| Full Name | Dr Matthew Todd Moody |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 19 Years |
| Location | 901 Mountain View Dr, Shelton, Washington |
| 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 |
|---|---|---|---|
| 1386872869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS015747 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | OP60693700 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mason General Hospital & Family Of Clinics | Shelton, WA | Hospital |
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Russell County Hospital | Lebanon, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-cities Regional Emergency Physicians, Pc | 3678859477 | 117 |
| Western Virginia Regional Emergency Physicians Llc | 4183991227 | 91 |
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1532 |
| Entity Name | Tri-cities Regional Emergency Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | Tri-cities Observation Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860146 PECOS PAC ID: 3274819719 Enrollment ID: O20170417001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Todd Moody, DO Po Box 8500-8735, Philadelphia, PA 19178-0001 Ph: (215) 456-7000 | Dr Matthew Todd Moody, DO 901 Mountain View Dr, Shelton, WA 98584-4401 Ph: (360) 426-1611 |
Dr. Joseph R. Hoffman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-426-1611 Fax: 360-427-7335 | |
Ella Kathryn Cameron, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-426-1611 | |
Dr. Carola E Bonfante, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-426-1611 Fax: 360-427-7335 | |
Dr. Dean E Gushee, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-426-1161 Fax: 360-427-7335 | |
Natalie Reynolds, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-426-1611 | |
Dr. Bradley John Kinney, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-427-9595 |