Melissa Shigeyo Moon, CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Sunbury, Ohio. Her current practice location is
111 W Cherry St, Sunbury, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 965-3061.
Melissa Shigeyo Moon is licensed to practice in Ohio (license number 0032127) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114432333.
Physician's Profile
| Full Name | Melissa Shigeyo Moon |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 111 W Cherry St, Sunbury, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114432333
- Provider Enumeration Date: 12/11/2017
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557716974
- Enrollment ID: I20231004003078
Medical Identifiers
Medical identifiers for Melissa Shigeyo Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114432333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 421859 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0032127 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa Shigeyo Moon allows following entities to bill medicare on her behalf.
| Entity Name | Mount Carmel Health Providers Two Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134154750
PECOS PAC ID: 6608828447
Enrollment ID: O20050325000023 |
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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. Melissa Shigeyo Moon 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 |
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Melissa Shigeyo Moon, CNP
495 Cooper Rd Ste 211,
Westerville, OH 43081-8736
Ph: (614) 882-2581 | Melissa Shigeyo Moon, CNP
111 W Cherry St,
Sunbury, OH 43074-9342
Ph: (740) 965-3061 |
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