Shontae Moody, PA is a medicare enrolled "Physician Assistant" in Williamstown, New Jersey. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Advocare, Llc and her current practice location is
979 N Black Horse Pike, Williamstown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 629-5151.
Shontae Moody is licensed to practice in New Jersey (license number 25MP00385300) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952730970.
Provider's Profile
| Full Name | Shontae Moody |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 979 N Black Horse Pike, Williamstown, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shontae Moody graduated from nursing school in 2013
NPI Data:
- NPI Number: 1952730970
- Provider Enumeration Date: 11/12/2013
- Last Update Date: 12/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719116912
- Enrollment ID: I20160216001907
Medical Identifiers
Medical identifiers for Shontae Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952730970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | MA056299 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | 25MP00385300 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advocare, Llc | 3678562188 | 383 |
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. Shontae Moody allows following entities to bill medicare on her behalf.
| Entity Name | Advocare, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770538696
PECOS PAC ID: 3678562188
Enrollment ID: O20040510001217 |
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| Entity Name | Excelcare Alliance LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891090510
PECOS PAC ID: 0941470082
Enrollment ID: O20110830000049 |
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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. Shontae 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 |
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Shontae Moody, PA
401 Route 73 N Bldg 10, Suite 320,
Marlton, NJ 08053
Ph: (856) 872-7055 | Shontae Moody, PA
979 N Black Horse Pike,
Williamstown, NJ 08094-1044
Ph: (856) 629-5151 |
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