Alfred Moon, MD is a medicare enrolled "Allergy & Immunology" physician in Yorba Linda, California. He went to Albany Medical College Of Union University and graduated in 2005 and has 19 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Providence Medical Foundation and his current practice location is
4300 Rose Dr, Yorba Linda, California. You can reach out to his office (for appointments etc.) via phone at
(714) 528-4211.
Alfred Moon is licensed to practice in California (license number A104707) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396953105.
Physician's Profile
| Full Name | Alfred Moon |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 19 Years |
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| Location | 4300 Rose Dr, Yorba Linda, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alfred Moon attended and graduated from Albany Medical College Of Union University in 2005
NPI Data:
- NPI Number: 1396953105
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 04/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 6507905734
- Enrollment ID: I20091202000024
Medical Identifiers
Medical identifiers for Alfred Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396953105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MT186653 (Pennsylvania) | Secondary |
| 207K00000X | Allergy & Immunology | A104707 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providence Medical Foundation | 8921993205 | 1312 |
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. Alfred Moon allows following entities to bill medicare on his behalf.
| Entity Name | Providence Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346 |
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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. Alfred 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 |
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Alfred Moon, MD
279 Imperial Hwy, Suite 730,
Fullerton, CA 92835-1041
Ph: (714) 449-4800 | Alfred Moon, MD
4300 Rose Dr,
Yorba Linda, CA 92886-2026
Ph: (714) 528-4211 |
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