Dr Mary Lynn Moran, MD is a
Otolaryngology - Facial Plastic Surgery physician based in Woodside, California. Dr Mary Lynn Moran is licensed to practice in California (license number G-076828) and her current practice location is 2973 Woodside Rd, Woodside, California. She can be reached at her office (for appointments etc.) via phone at
(650) 851-0565.
NPI number for Dr Mary Lynn Moran is 1417034877 and her current mailing address is 600a Frazier Dr Ste 120, Franklin, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417034877.
Physician's Profile
Full Name | Dr Mary Lynn Moran |
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Gender | Female |
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Speciality | Otolaryngology - Facial Plastic Surgery |
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Location | 2973 Woodside Rd, Woodside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417034877
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/20/2020
Medical Identifiers
Medical identifiers for Dr Mary Lynn Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417034877 | NPI | - | NPPES |
00G768280 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YS0123X | Otolaryngology - Facial Plastic Surgery | G-076828 (California) | Secondary |
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 Mary Lynn Moran 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 Mary Lynn Moran, MD 600a Frazier Dr Ste 120, Franklin, TN 37067-4670 Ph: (615) 224-8387 | Dr Mary Lynn Moran, MD 2973 Woodside Rd, Woodside, CA 94062-2443 Ph: (650) 851-0565 |
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