Dr Michael Moon, MD | |
5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 | |
(858) 202-1546 | |
(858) 202-1548 |
Full Name | Dr Michael Moon |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 29 Years |
Location | 5348 Carroll Canyon Rd, San Diego, California |
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 |
---|---|---|---|
1619014230 | NPI | - | NPPES |
GR0096070 | Medicaid | CA | |
ZZZ07215Z | Other | CA | BLUE SHIELD |
A61865 | Other | CA | LICENSE NUMBER |
127169100 | Other | CA | ACS-US DEPT OF LABOR |
330992123 | Other | CA | BLUE CROSS |
P00302519 | Other | CA | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | A61865 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michael Moon Md A Medical Corporation | 7719990365 | 2 |
Entity Name | Michael Moon Md A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629023387 PECOS PAC ID: 7719990365 Enrollment ID: O20060726000219 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Moon, MD 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 Ph: (858) 202-1546 | Dr Michael Moon, MD 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 Ph: (858) 202-1546 |
Dr. Eric T Stedje-larsen, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, Naval Medical Center San Diego, San Diego, CA 92134 Phone: 619-435-9679 | |
Jeffrey A. Cullen, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 6973 Linda Vista Road, San Diego, CA 92111 Phone: 858-279-9676 Fax: 858-279-0377 | |
Dr. Susan A Burke, L.A.C, O.M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4141 Mississippi St, San Diego, CA 92104 Phone: 760-880-1896 | |
Dr. Zachary Carl Cohen, M.D. Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 5395 Ruffin Rd Ste 204, San Diego, CA 92123 Phone: 858-571-3630 Fax: 858-295-3948 | |
Dr. Hussein Mohammad Abdulhadi, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 6645 Alvarado Rd, Suite 253, San Diego, CA 92120 Phone: 619-326-0326 Fax: 619-326-0126 |