Sangrok Moon, DC, LAC is a medicare enrolled "Acupuncturist" provider in Fort Lee, New Jersey. His current practice location is
2460 Lemoine Ave Ste 203, Fort Lee, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 559-5307.
Sangrok Moon is licensed to practice in New Jersey (license number 25MZ00081300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184988107.
Healthcare Provider's Profile
| Full Name | Sangrok Moon |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 2460 Lemoine Ave Ste 203, Fort Lee, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184988107
- Provider Enumeration Date: 06/25/2012
- Last Update Date: 12/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840431912
- Enrollment ID: I20130801000355
Medical Identifiers
Medical identifiers for Sangrok Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184988107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 38MC00648800 (New Jersey) | Secondary |
| 171100000X | Acupuncturist | 25MZ00081300 (New Jersey) | 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. Sangrok Moon allows following entities to bill medicare on his behalf.
| Provider Name | Sm Chiropractic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356764492
PECOS PAC ID: 8729219860
Enrollment ID: O20140402001821 |
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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. Sangrok Moon 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 |
|---|
Sangrok Moon, DC, LAC
2460 Lemoine Ave Ste 203,
Fort Lee, NJ 07024-6210
Ph: (201) 559-5307 | Sangrok Moon, DC, LAC
2460 Lemoine Ave Ste 203,
Fort Lee, NJ 07024-6210
Ph: (201) 559-5307 |
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