Dr Kyung-woong Moon, MD is a
Radiology - Diagnostic Radiology physician based in Burton, Michigan. Dr Kyung-woong Moon is licensed to practice in Michigan (license number 4301034878) and his current practice location is 1096 S Belsay Rd, Suite J, Burton, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 715-0803.
NPI number for Dr Kyung-woong Moon is 1831106301 and his current mailing address is 3495 S Center Rd, Burton, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831106301.
Physician's Profile
| Full Name | Dr Kyung-woong Moon |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1096 S Belsay Rd, Burton, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831106301
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 09/20/2007
Medical Identifiers
Medical identifiers for Dr Kyung-woong Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831106301 | NPI | - | NPPES |
| 3008204811 | Other | MI | BCBSM INDIVIDUAL PIN |
| 4765404 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301034878 (Michigan) | Primary |
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. Dr Kyung-woong Moon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kyung-woong Moon, MD
3495 S Center Rd,
Burton, MI 48519-1455
Ph: (810) 424-2007 | Dr Kyung-woong Moon, MD
1096 S Belsay Rd, Suite J,
Burton, MI 48509-1948
Ph: (810) 715-0803 |
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