Justine Sherylyn Moe, MD, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Okemos, Michigan. Her current practice location is
4201 Okemos Rd, Okemos, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 349-8383.
Justine Sherylyn Moe is licensed to practice in Michigan (license number 4301111526) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104143833.
Physician's Profile
Full Name | Justine Sherylyn Moe |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 4201 Okemos Rd, Okemos, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Justine Sherylyn Moe attended and graduated from in
NPI Data:
- NPI Number: 1104143833
- Provider Enumeration Date: 04/20/2010
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Justine Sherylyn Moe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104143833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4301111526 (Michigan) | Secondary |
122300000X | Dentist | 4301111526 (Michigan) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4301111526 (Michigan) | Primary |
204E00000X | Oral & Maxillofacial Surgery | 4301111526 (Michigan) | 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. Justine Sherylyn Moe is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Justine Sherylyn Moe, MD, DDS 4201 Okemos Rd, Okemos, MI 48864-3200 Ph: (517) 349-8383 | Justine Sherylyn Moe, MD, DDS 4201 Okemos Rd, Okemos, MI 48864-3200 Ph: (517) 349-8383 |
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