Laura Diane Moon, - Medicare Certified Registered Nurse Anesthetist (crna) in Greenwood, SC

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Laura Diane Moon, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenwood, South Carolina. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Self Medical Group, Anesthesiology Of Greenwood Pa and her current practice location is 1325 Spring St, Greenwood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 725-4111.

Laura Diane Moon is licensed to practice in South Carolina (license number 26055) 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 1003066259.

Contact Information

Laura Diane Moon,
1325 Spring St,
Greenwood, SC 29646-3860
(864) 725-4111
Not Available

Map and Direction




Provider's Profile

Full NameLaura Diane Moon
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience27 Years
Location1325 Spring St, Greenwood, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Laura Diane Moon graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1003066259
  • Provider Enumeration Date: 09/24/2008
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921162363
  • Enrollment ID: I20221209000051

Medical Identifiers

Medical identifiers for Laura Diane Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003066259NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 55025 (West Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 79610 (West Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 26055 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Self Regional HealthcareGreenwood, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Self Medical Group6002953916326
Anesthesiology Of Greenwood Pa721483057936

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. Laura Diane Moon allows following entities to bill medicare on her behalf.
Entity NameAnesthesiology Of Greenwood Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932189081
PECOS PAC ID: 7214830579
Enrollment ID: O20040202000729
Entity NameSelf Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982836847
PECOS PAC ID: 6002953916
Enrollment ID: O20091027000071

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. Laura Diane 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
Laura Diane Moon,
110 Roane St,
Charleston, WV 25302-2334

Ph: (304) 344-0096		Laura Diane Moon,
1325 Spring St,
Greenwood, SC 29646-3860

Ph: (864) 725-4111

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Greenwood, SC

Susan Striegel-edwards, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Spring St, Greenwood, SC 29646
Phone: 864-725-4111    
Cody Michael Nye, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Spring St, Greenwood, SC 29646
Phone: 864-725-4111    
Karen Marie Tolley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Spring St, Greenwood, SC 29646
Phone: 864-725-4111    
Mrs. Mary Parks Anderson, RN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Spring St, Greenwood, SC 29646
Phone: 864-725-4111    
Todd Paul Nelson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Spring St, Greenwood, SC 29646
Phone: 864-725-4111    
Dr. Travis Shoop, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1325 Spring St, Greenwood, SC 29646
Phone: 864-725-4111    
Nathaniel Lever,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Spring St, Greenwood, SC 29646
Phone: 864-725-4111    

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.