| Jillian Kelcie Moody, NP-C | |
|
805 Hill Blvd Unit 103, Granbury, TX 76048-1482 | |
| (817) 573-3447 | |
| Not Available |
| Full Name | Jillian Kelcie Moody |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 805 Hill Blvd Unit 103, Granbury, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790322279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP143411 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | Hospital |
| Bassett Healthcare | Cooperstown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Imogene Bassett Hospital | 3779488325 | 728 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Kelcie Moody, NP-C 1029 Roadrunner Rd, Glen Rose, TX 76043-6905 Ph: (817) 776-7477 | Jillian Kelcie Moody, NP-C 805 Hill Blvd Unit 103, Granbury, TX 76048-1482 Ph: (817) 573-3447 |
Tricia Dawn Beisch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Maverick Ct, Granbury, TX 76049 Phone: 888-731-8994 Fax: 833-775-1861 | |
Ashton Renee Long, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Davis Rd, Granbury, TX 76049 Phone: 254-485-8062 Fax: 866-300-8682 | |
Mrs. Taylor Searcey, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1204 Medical Plaza Ct, Granbury, TX 76048 Phone: 817-573-5688 | |
Debra Lynn Shearon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Pecan Arbor Ct, Granbury, TX 76049 Phone: 817-578-1667 | |
Monica D Lee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310b Paluxy Road, Suite 3000, Granbury, TX 76048 Phone: 817-579-3978 Fax: 817-579-3977 | |
Renee Tabuena, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Maverick Ct, Granbury, TX 76049 Phone: 888-731-8994 | |
Alexandra Timmons, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1204 Medical Plaza Ct, Granbury, TX 76048 Phone: 817-573-5688 |