Davis Sungwhan Moon, MD | |
4750 Waters Ave Ste 500, Savannah, GA 31404-6261 | |
(912) 352-8346 | |
(912) 355-5515 |
Full Name | Davis Sungwhan Moon |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 12 Years |
Location | 4750 Waters Ave Ste 500, Savannah, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043455306 | NPI | - | NPPES |
003223457H | Medicaid | GA | |
003223457A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 84913 (South Carolina) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 74207 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial University Medical Center | Savannah, GA | Hospital |
St Joseph's Hospital - Savannah | Savannah, GA | Hospital |
Medical Center, Navicent Health (the) | Macon, GA | Hospital |
Candler Hospital | Savannah, GA | Hospital |
Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Savannah Vascular Institute, Llc | 2769542075 | 20 |
Health Services Of Central Georgia | 9638076730 | 214 |
Entity Name | Health Services Of Central Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
Entity Name | Savannah Vascular Institute, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184873390 PECOS PAC ID: 2769542075 Enrollment ID: O20081117000514 |
Entity Name | Effingham Vascular Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043773161 PECOS PAC ID: 4385974096 Enrollment ID: O20190923003462 |
Mailing Address | Practice Location Address |
---|---|
Davis Sungwhan Moon, MD 4750 Waters Ave Ste 500, Savannah, GA 31404-6261 Ph: (912) 352-8346 | Davis Sungwhan Moon, MD 4750 Waters Ave Ste 500, Savannah, GA 31404-6261 Ph: (912) 352-8346 |
Catherine Ann Ronaghan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St Ste 107, Savannah, GA 31405 Phone: 912-819-7630 Fax: 912-819-5860 | |
Robert Joseph Kelly Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Avenue, 1st Floor Mus Bldg, Savannah, GA 31404 Phone: 912-350-8712 Fax: 912-350-8753 | |
Edward J Cohn Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave, Suite 500, Savannah, GA 31404 Phone: 866-957-8346 Fax: 912-355-1414 | |
David Helmar Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 5361 Reynolds St, Savannah, GA 31405 Phone: 912-355-8000 Fax: 912-355-8403 | |
Glenn N Carlos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 403, Savannah, GA 31404 Phone: 912-273-1150 | |
Dr. Jeffrey Samuel Mandel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406 Phone: 912-354-6303 Fax: 912-355-8655 |