Evan Blake Moon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Winston Salem, NC

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Evan Blake Moon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston Salem, North Carolina. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Southern Colorado Crna Associates Inc, Us Anesthesia Partners Of Colorado Inc and his current practice location is 145 Kimel Park Dr, Suite 120, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 768-3212.

Evan Blake Moon is licensed to practice in North Carolina (license number 272878) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437603891.

Contact Information

Evan Blake Moon, CRNA
145 Kimel Park Dr, Suite 120,
Winston Salem, NC 27103-6984
(336) 768-3212
(336) 768-9019

Map and Direction




Provider's Profile

Full NameEvan Blake Moon
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location145 Kimel Park Dr, Winston Salem, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Evan Blake Moon graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1437603891
  • Provider Enumeration Date: 08/15/2016
  • Last Update Date: 08/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7719266758
  • Enrollment ID: I20190916001075

Medical Identifiers

Medical identifiers for Evan Blake Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437603891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 272878 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centura Health-penrose St Francis Health ServicesColorado springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Colorado Crna Associates Inc30727855593
Us Anesthesia Partners Of Colorado Inc6002072055570

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. Evan Blake Moon allows following entities to bill medicare on his behalf.
Entity NamePeak Gastroenterology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023112117
PECOS PAC ID: 2961484365
Enrollment ID: O20040601000848
Entity NameSouthern Colorado Crna Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043538382
PECOS PAC ID: 3072785559
Enrollment ID: O20111005000146
Entity NameUs Anesthesia Partners Of Colorado Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922365782
PECOS PAC ID: 6002072055
Enrollment ID: O20120725000032
Entity NameEcgj Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609120070
PECOS PAC ID: 9133364466
Enrollment ID: O20130314000349
Entity NameArapahoe Gastroenterology Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598115479
PECOS PAC ID: 2466745294
Enrollment ID: O20160801001103
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20201020000054

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. Evan Blake 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 AddressPractice Location Address
Evan Blake Moon, CRNA
145 Kimel Park Dr, Suite 120,
Winston Salem, NC 27103-6984

Ph: (336) 768-3212		Evan Blake Moon, CRNA
145 Kimel Park Dr, Suite 120,
Winston Salem, NC 27103-6984

Ph: (336) 768-3212

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Winston Salem, NC

Nicholas Ryan Tuttle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-409-1797    
Yetta Hardy Clark, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019
Carie Sue Nunley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019
Connie Sue Freeman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019
Charlie Martin Robertson Iii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2011    
Holly C Pegram, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019
Jessica Savidge Rose, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.