Dr Martin Ryan Moon, MD | |
4900 Houston Rd, Florence, KY 41042-4824 | |
(859) 578-5880 | |
(859) 578-5881 |
Full Name | Dr Martin Ryan Moon |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 30 Years |
Location | 4900 Houston Rd, Florence, Kentucky |
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 |
---|---|---|---|
1174516934 | NPI | - | NPPES |
64108491 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35-070819 (Ohio) | Secondary |
208600000X | Surgery | 39444 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Florence | Florence, KY | Hospital |
St Elizabeth Edgewood | Edgewood, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Dr Martin Ryan Moon, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 578-5800 | Dr Martin Ryan Moon, MD 4900 Houston Rd, Florence, KY 41042-4824 Ph: (859) 578-5880 |
Harish Naidu Nirujogi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-578-5880 Fax: 859-578-5881 | |
Ramesh Kumar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7370 Turfway Rd, Florence, KY 41042 Phone: 859-578-5880 Fax: 859-212-4845 | |
Dwayne V Smith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-212-4625 Fax: 859-212-4638 | |
Magued Nadim Khouzam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7370 Turfway Rd, Ste 150, Florence, KY 41042 Phone: 859-578-5880 Fax: 859-578-5881 |