Mrs Lacey Dively Moy, MD - Medicare Family Practice in Springfield, IL

Mrs Lacey Dively Moy, MD is a medicare enrolled "Family Medicine" physician in Springfield, Illinois. She went to Rush Medical College Of Rush University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Memorial Physician Services and her current practice location is 3220 Atlanta St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 588-7400.

Mrs Lacey Dively Moy is licensed to practice in Illinois (license number 036129248) 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 1013144021.

Contact Information

Mrs Lacey Dively Moy, MD
3220 Atlanta St,
Springfield, IL 62707-8801
(217) 588-7400
(217) 588-7439



Physician's Profile

Full NameMrs Lacey Dively Moy
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location3220 Atlanta St, Springfield, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Lacey Dively Moy attended and graduated from Rush Medical College Of Rush University in 2009
  NPI Data:
  • NPI Number: 1013144021
  • Provider Enumeration Date: 06/17/2009
  • Last Update Date: 05/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618138413
  • Enrollment ID: I20120420000378

Medical Identifiers

Medical identifiers for Mrs Lacey Dively Moy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013144021NPI-NPPES
036.129248OtherILMD LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036129248 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital
St Johns HospitalSpringfield, ILHospital
Taylorville Memorial HospitalTaylorville, ILHospital
Villa Health Care EastSherman, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Physician Services9032005681170

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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. Mrs Lacey Dively Moy allows following entities to bill medicare on her behalf.
Entity NameMemorial Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417922964
PECOS PAC ID: 9032005681
Enrollment ID: O20040223000454

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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. Mrs Lacey Dively Moy 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 AddressPractice Location Address
Mrs Lacey Dively Moy, MD
3220 Atlanta St,
Springfield, IL 62707-8801

Ph: (217) 588-7400
Mrs Lacey Dively Moy, MD
3220 Atlanta St,
Springfield, IL 62707-8801

Ph: (217) 588-7400

News Archive

Low birthweight babies have poor survival despite advances in neonatal care, study shows

A new study published in Acta Paediatrica indicates that survival of babies born weighing ≤500 g is poor despite advances in neonatal care.

CryoCath files patent infringement lawsuit

CryoCath Technologies Inc., the global leader in cardiac arrhythmia products to treat cardiovascular disease, today announced it filed against CryoCor, Inc. a patent infringement lawsuit in the United States District Court for the District of Delaware.

Zinc and folic acid supplements fail to improve fertility in men

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Study provides complete health picture of adult survivors of childhood cancer

St. Jude Children's Research Hospital has found that childhood cancer survivors overwhelmingly experience a significant amount of undiagnosed, serious disease through their adult years, establishing the importance of proactive, life-long clinical health screenings for this growing high-risk population.

Read more News

› Verified 9 days ago


Family Medicine Doctors in Springfield, IL

Dr. Kaitlin Delaney Henry, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Wabash Ave, Springfield, IL 62704
Phone: 217-528-7541    
Mark T. Mckay, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Wabash Ave, Springfield, IL 62704
Phone: 217-528-7541    
Dr. Jennifer E. Richards, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Centre West Dr, Springfield, IL 62704
Phone: 217-793-9960    
Dr. Hari Iyengar, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 520 N 4th St, Springfield, IL 62702
Phone: 217-757-8100    
Dr. Jamie Wallman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701
Phone: 217-545-8000    
Janet R Albers, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 520 N 4th St, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-757-8161

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