Mrs Julie Raye Moody, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Rexburg, Idaho. Her current practice location is
393 E 2nd N, Rexburg, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 359-4840.
Mrs Julie Raye Moody is licensed to practice in Idaho (license number 69140) 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 1508530676.
Physician's Profile
Full Name | Mrs Julie Raye Moody |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 393 E 2nd N, Rexburg, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508530676
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 12/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355748716
- Enrollment ID: I20210928000760
Medical Identifiers
Medical identifiers for Mrs Julie Raye Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508530676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 69140 (Idaho) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 69140 (Idaho) | 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. Mrs Julie Raye Moody allows following entities to bill medicare on her behalf.
Entity Name | Centerpoint Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134458102 PECOS PAC ID: 1456754373 Enrollment ID: O20210729000324 |
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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. Mrs Julie Raye 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 |
Mrs Julie Raye Moody, PMHNP 992 South Butte Road, Menan, ID 83434 Ph: (208) 993-0878 | Mrs Julie Raye Moody, PMHNP 393 E 2nd N, Rexburg, ID 83440-1605 Ph: (208) 359-4840 |
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