Derick W Moody, PA
Derick W Moody, PA is a Physician Assistant in Springville, Utah. Qualified in 2013, 13 years ago. Practices with Numinus Wellness UT Inc, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.
- Years since qualifying
- 13
- Licensed in
- UT
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
672 W 400 S Ste 201Springville, UT 84663-3170
Phone: (801) 369-8989
Fax: (801) 704-9741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Clinical Nurse Specialist (primary) | Taxonomy 364SP0808X · Licence 8820342-1206 (UT) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 8820342-1206 (UT) |
Record details
| NPI number | 1235551409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | January 7, 2014 |
| Last updated in NPPES | September 7, 2023 |
| Certification date | September 7, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Numinus Wellness Ut Inc — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |