Mrs Julie Raye Moody, PMHNP - Medicare Nurse Practitioner in Rexburg, ID

Mrs Julie Raye Moody, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Rexburg, Idaho. Her current practice location is 393 E 2nd N, Rexburg, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 359-4840.

Mrs Julie Raye Moody is licensed to practice in Idaho (license number 69140) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508530676.

Contact Information

Mrs Julie Raye Moody, PMHNP
393 E 2nd N,
Rexburg, ID 83440-1605
(208) 359-4840
(208) 359-9010



Physician's Profile

Full NameMrs Julie Raye Moody
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location393 E 2nd N, Rexburg, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508530676
  • Provider Enumeration Date: 08/03/2021
  • Last Update Date: 12/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355748716
  • Enrollment ID: I20210928000760

Medical Identifiers

Medical identifiers for Mrs Julie Raye Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508530676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 69140 (Idaho)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 69140 (Idaho)Primary

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 Julie Raye Moody allows following entities to bill medicare on her behalf.
Entity NameCenterpoint Counseling Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134458102
PECOS PAC ID: 1456754373
Enrollment ID: O20210729000324

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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 Julie Raye 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 AddressPractice Location Address
Mrs Julie Raye Moody, PMHNP
992 South Butte Road,
Menan, ID 83434

Ph: (208) 993-0878
Mrs Julie Raye Moody, PMHNP
393 E 2nd N,
Rexburg, ID 83440-1605

Ph: (208) 359-4840

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