Dr Charles M Moon, MD | |
1359 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | |
(573) 335-7546 | |
(573) 335-7550 |
Full Name | Dr Charles M Moon |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 25 Years |
Location | 1359 N Mount Auburn Rd, Cape Girardeau, Missouri |
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 |
---|---|---|---|
1487712295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 01053751A (Indiana) | Secondary |
207N00000X | Dermatology | 2007038037 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Cape girardeau, MO | Hospital |
Southeasthealth | Cape girardeau, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Dermatology Of Southeast Missouri Pc | 3678612108 | 9 |
Entity Name | Advanced Dermatology Of Southeast Missouri Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770713950 PECOS PAC ID: 3678612108 Enrollment ID: O20091123000348 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles M Moon, MD 2116 Megan Dr, Ste 102, Cape Girardeau, MO 63701-1979 Ph: (573) 335-7546 | Dr Charles M Moon, MD 1359 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 Ph: (573) 335-7546 |
Sujitha Yadlapati, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 304 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-803-3331 | |
Richard Limbert, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 Phone: 573-335-7546 Fax: 573-335-7550 | |
Dr. Lawrence Feigenbaum, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 304 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-803-3331 |