| Melody Lynne Moody, MD | |
|
1700 Harrison St, Suite N, Batesville, AR 72501 | |
| (870) 262-2000 | |
| (870) 262-2210 |
| Full Name | Melody Lynne Moody |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1700 Harrison St, Batesville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689640641 | NPI | - | NPPES |
| 135172001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E1877 (Arkansas) | Primary |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568432144 PECOS PAC ID: 0143134270 Enrollment ID: O20040830000837 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568442127 PECOS PAC ID: 0143134270 Enrollment ID: O20060221000012 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457396616 PECOS PAC ID: 0143134270 Enrollment ID: O20060830000031 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134298268 PECOS PAC ID: 0143134270 Enrollment ID: O20070228000056 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467519249 PECOS PAC ID: 0143134270 Enrollment ID: O20070503000423 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578543070 PECOS PAC ID: 0143134270 Enrollment ID: O20120725000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Lynne Moody, MD 1700 Harrison St, Suite N, Batesville, AR 72501 Ph: (870) 262-2000 | Melody Lynne Moody, MD 1700 Harrison St, Suite N, Batesville, AR 72501 Ph: (870) 262-2000 |
Nelson A. Obikwu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Harrison St, Suite N, Batesville, AR 72501 Phone: 870-262-2200 Fax: 870-262-2210 |