| Mary Gail Moody, RN, FNP | |
|
113 W Main St, Kenedy, TX 78119-2717 | |
| (830) 583-0627 | |
| (830) 583-3729 |
| Full Name | Mary Gail Moody |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 31 Years |
| Location | 113 W Main St, Kenedy, 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 |
|---|---|---|---|
| 1487697660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 240005 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP106303 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cuero Regional Hospital | Cuero, TX | Hospital |
| Otto Kaiser Memorial Hospital | Kenedy, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dewitt Medical District | 3072421395 | 31 |
| Entity Name | Dewitt Medical District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366532608 PECOS PAC ID: 3072421395 Enrollment ID: O20031202000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Gail Moody, RN, FNP 113 W Main St, Kenedy, TX 78119-2717 Ph: (830) 583-0627 | Mary Gail Moody, RN, FNP 113 W Main St, Kenedy, TX 78119-2717 Ph: (830) 583-0627 |
Mrs. Jochelle Pawelek Uriegas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3349 S Highway 181 Ste 3, Kenedy, TX 78119 Phone: 830-583-9355 | |
Mrs. Pamela Dawn Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3349 S Highway 181 Ste 3, Kenedy, TX 78119 Phone: 830-583-9355 Fax: 830-583-9335 |