Lacey Moody, in Southaven, MS - Medicare Physical Therapy Provider

Lacey Moody, is a medicare enrolled "Physical Therapist" provider in Southaven, Mississippi. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Aegis Group Practice Llc, Ave Maria Home and her current practice location is 3964 Goodman Rd E, Suite 111, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 890-6953.

Lacey Moody is licensed to practice in Mississippi (license number PT5426) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1083025001.

Contact Information

	Lacey Moody,
	3964 Goodman Rd E, Suite 111, Southaven, MS 38672-8761
	(662) 890-6953
	(662) 890-6954

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey Moody
Gender	Female
Speciality	Physical Therapy
Experience	11 Years
Location	3964 Goodman Rd E, Southaven, Mississippi
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lacey Moody graduated from medical school in 2013

NPI Data:

NPI Number: 1083025001
Provider Enumeration Date: 05/13/2014
Last Update Date: 05/13/2014

Medicare PECOS Information:

PECOS PAC ID: 4587888052
Enrollment ID: I20140806001011

Medical Identifiers

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

Identifier	Type	State	Issuer
1083025001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5426 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aegis Group Practice Llc	5193036432	267
Ave Maria Home	2365518909	24

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. Lacey Moody allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1467023861 PECOS PAC ID: 2769723162 Enrollment ID: O20210928002596

Provider Name	Onr National Speech Pathology Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20211027000663

Provider Name	Ave Maria Home
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1831250604 PECOS PAC ID: 2365518909 Enrollment ID: O20211028001255

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174308647 PECOS PAC ID: 5193036432 Enrollment ID: O20231018002544

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. Lacey 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
Lacey Moody, 2001 Mallory Ln, Suite 201, Franklin, TN 37067-8233 Ph: (615) 373-1350	Lacey Moody, 3964 Goodman Rd E, Suite 111, Southaven, MS 38672-8761 Ph: (662) 890-6953

Reviews and Comments

Physical Therapist in Southaven, MS

Parker P Haberstroh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029
Michael Newton Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672 Phone: 662-890-6953
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208
Mrs. Jennifer Dixon Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 Fax: 901-759-3216

Lacey Moody, - Medicare Physical Therapist in Southaven, MS