Micaela Moen, in Atlanta, GA - Medicare Surgery

Micaela Moen, is a medicare enrolled "Surgery" physician in Atlanta, Georgia. Her current practice location is 275 Collier Rd Nw Ste 470, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 351-1002.

Micaela Moen is licensed to practice in Georgia (license number 96787) 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 1760845168.

Contact Information

	Micaela Moen,
	275 Collier Rd Nw Ste 470, Atlanta, GA 30309-1711
	(404) 351-1002
	Not Available

Map and Direction

Physician's Profile

Full Name	Micaela Moen
Gender	Female
Speciality	Surgery
Location	275 Collier Rd Nw Ste 470, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760845168
Provider Enumeration Date: 04/01/2016
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8325331382
Enrollment ID: I20231206002646

Medical Identifiers

Medical identifiers for Micaela Moen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760845168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	D0094099 (Maryland)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208600000X	Surgery	96787 (Georgia)	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. Micaela Moen allows following entities to bill medicare on her behalf.

Entity Name	Atlanta Breast Care, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134288368 PECOS PAC ID: 2163401365 Enrollment ID: O20040720000073

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. Micaela Moen 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
Micaela Moen, 840 Frederica St Ne, Atlanta, GA 30306-4704 Ph: (214) 636-4705	Micaela Moen, 275 Collier Rd Nw Ste 470, Atlanta, GA 30309-1711 Ph: (404) 351-1002

Reviews and Comments

Surgery Doctors in Atlanta, GA

Dr. Dominic Joseph Papandria, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-686-4411
Dr. Constance Scott Harrell Shreckengost, MD, PHD Surgery Medicare: Medicare Enrolled Practice Location: 1364 Clifton Rd Ne Rm B206, Atlanta, GA 30322 Phone: 404-727-5800
John Sweeney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1365a Clifton Rd Ne, Suite 3300, Atlanta, GA 30322 Phone: 404-778-3712 Fax: 404-778-5033
Marlieke E Nussenbaum, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 1015 Boulevard Se Apt 629, Atlanta, GA 30312 Phone: 919-360-5327
Samantha Courtney Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 69 Jesse Hill Jr Drive, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931
Vanessa Arientyl, MD Surgery Medicare: Medicare Enrolled Practice Location: 69 Jesse Hill Jr. Drive Southeast, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931
Mr. Barrie Douglas Lowman, P.A. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5669 Peachtree Dunwoody Rd Ne, Suite 100, Atlanta, GA 30342 Phone: 404-256-0404 Fax: 404-847-0423

Micaela Moen, - Medicare Surgery in Atlanta, GA