Kimberly Ann Moon, in Fargo, ND - Medicare Certified Registered Nurse Anesthetist (crna)

Kimberly Ann Moon, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fargo, North Dakota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sanford Medical Center Fargo and her current practice location is 5225 23rd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 417-2575.

Kimberly Ann Moon is licensed to practice in North Dakota (license number R35271) 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 1083172969.

Contact Information

	Kimberly Ann Moon,
	5225 23rd Ave S, Fargo, ND 58104-7927
	(701) 417-2575
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Ann Moon
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	5225 23rd Ave S, Fargo, North Dakota
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:

Kimberly Ann Moon graduated from nursing school in 2018

NPI Data:

NPI Number: 1083172969
Provider Enumeration Date: 03/09/2019
Last Update Date: 08/18/2020

Medicare PECOS Information:

PECOS PAC ID: 5799026530
Enrollment ID: I20190404002225

Medical Identifiers

Medical identifiers for Kimberly Ann Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083172969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R35271 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085

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. Kimberly Ann Moon allows following entities to bill medicare on her behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Face And Jaw Surgeons Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184667305 PECOS PAC ID: 1153311881 Enrollment ID: O20040514000837

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Kimberly Ann 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
Kimberly Ann Moon, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Kimberly Ann Moon, 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 417-2575

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fargo, ND

Ashley Heule, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-371-7635
Julie Honeyman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6355
Todd D Underdahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258 Fax: 701-234-7334
Katie C Busker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258
Jordan Idso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2868
Lindsey K Holter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575
Joshua Keith Maliske, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2000

Kimberly Ann Moon, - Medicare Certified Registered Nurse Anesthetist (crna) in Fargo, ND