Katie Lynn Moody, CRNP in Wynnewood, PA - Medicare Nurse Practitioner

Katie Lynn Moody, CRNP is a medicare enrolled "Nurse Practitioner" in Wynnewood, Pennsylvania. Her current practice location is 100 E Lancaster Ave, Cticu 2nd Floor Heart Pavilion, Wynnewood, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 476-1000.

Katie Lynn Moody is licensed to practice in Pennsylvania (license number SP021337) 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 1528698578.

Contact Information

	Katie Lynn Moody, CRNP
	100 E Lancaster Ave, Cticu 2nd Floor Heart Pavilion, Wynnewood, PA 19096-3450
	(484) 476-1000
	(484) 476-5931

Map and Direction

Provider's Profile

Full Name	Katie Lynn Moody
Gender	Female
Speciality	Nurse Practitioner
Location	100 E Lancaster Ave, Wynnewood, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528698578
Provider Enumeration Date: 01/17/2020
Last Update Date: 02/07/2026

Medicare PECOS Information:

PECOS PAC ID: 0941689244
Enrollment ID: I20220616001236

Medical Identifiers

Medical identifiers for Katie Lynn Moody such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528698578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP021337 (Pennsylvania)	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. Katie Lynn Moody allows following entities to bill medicare on her behalf.

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Katie Lynn 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
Katie Lynn Moody, CRNP 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: (484) 476-1000	Katie Lynn Moody, CRNP 100 E Lancaster Ave, Cticu 2nd Floor Heart Pavilion, Wynnewood, PA 19096-3450 Ph: (484) 476-1000

Reviews and Comments

Nurse Practitioner Nurses in Wynnewood, PA

Altaira Anne Laverda, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 306 E Lancaster Ave Ste 200, Wynnewood, PA 19096 Phone: 484-565-1293 Fax: 484-476-7855
Melinda R Milliken, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lancaster Avenue, Suite 230, Wynnewood, PA 19096 Phone: 610-642-3796
Jessica Phillips, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Labor & Delivery, Wynnewood, PA 19096 Phone: 484-476-2326
Jacqueline S Shapiro, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lancaster Ave, Suite 301, Wynnewood, PA 19096 Phone: 484-476-4650 Fax: 610-645-3577
Ms. Ellen Jesse Bernstein, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 370, Wynnewood, PA 19096 Phone: 610-642-3005 Fax: 610-642-3057
Melissa Diane Buchter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1000
Ms. Sherrie Stiffler Freilich, RN CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Lankenau Heart Pavilion, Mezzanine, Wynnewood, PA 19096 Phone: 484-476-1000 Fax: 484-476-9000

Katie Lynn Moody, CRNP - Medicare Nurse Practitioner in Wynnewood, PA