Ms Tasha Rachelle Moody, FNP-C | |
119 Michael John Dr, Maurice, LA 70555-3387 | |
(318) 332-6244 | |
Not Available |
Full Name | Ms Tasha Rachelle Moody |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 119 Michael John Dr, Maurice, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356172886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 237084 (Louisiana) | Primary |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
Mailing Address | Practice Location Address |
---|---|
Ms Tasha Rachelle Moody, FNP-C 119 Michael John Dr, Maurice, LA 70555-3387 Ph: (318) 332-6244 | Ms Tasha Rachelle Moody, FNP-C 119 Michael John Dr, Maurice, LA 70555-3387 Ph: (318) 332-6244 |
Emily Duhon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Milton Rd, Maurice, LA 70555 Phone: 337-893-4449 | |
Lindsey Lobell Kelehan, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9610 Maurice Ave, Maurice, LA 70555 Phone: 337-470-2772 Fax: 337-470-2019 | |
Cory D Theriot, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 E Etienne Rd, Maurice, LA 70555 Phone: 373-740-9663 |