David Sung-wook Moon, MD - Medicare Psychiatry & Neurology in Grand Rapids, MI

David Sung-wook Moon, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Grand Rapids, Michigan. His current practice location is 35 Michigan St Ne Ste 3003, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-2500.

David Sung-wook Moon is licensed to practice in Michigan (license number 4301114519) 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 1164866414.

Contact Information

David Sung-wook Moon, MD
35 Michigan St Ne Ste 3003,
Grand Rapids, MI 49503-2528
(616) 267-2500
Not Available

Map and Direction




Physician's Profile

Full NameDavid Sung-wook Moon
GenderMale
SpecialityPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location35 Michigan St Ne Ste 3003, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164866414
  • Provider Enumeration Date: 04/17/2013
  • Last Update Date: 02/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769727064
  • Enrollment ID: I20181214000167

Medical Identifiers

Medical identifiers for David Sung-wook Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164866414NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 4301114519 (Michigan)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. David Sung-wook Moon allows following entities to bill medicare on his behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameBronson Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417961137
PECOS PAC ID: 0244148633
Enrollment ID: O20031208000832
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904
Entity NameLakeland Medical Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216

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. David Sung-wook 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 AddressPractice Location Address
David Sung-wook Moon, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -
David Sung-wook Moon, MD
35 Michigan St Ne Ste 3003,
Grand Rapids, MI 49503-2528

Ph: (616) 267-2500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.