Tina Lee Moon, PA-C - Medicare Physician Assistant in San Dimas, CA

Tina Lee Moon, PA-C is a medicare enrolled "Physician Assistant" in San Dimas, California. Her current practice location is 1334 W Covina Blvd, Suite 102, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (909) 599-8677.

Tina Lee Moon is licensed to practice in California (license number 15164) 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 1104946383.

Contact Information

Tina Lee Moon, PA-C
1334 W Covina Blvd, Suite 102,
San Dimas, CA 91773-3211
(909) 599-8677
(909) 592-0999

Map and Direction




Provider's Profile

Full NameTina Lee Moon
GenderFemale
SpecialityPhysician Assistant
Location1334 W Covina Blvd, San Dimas, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104946383
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8325271547
  • Enrollment ID: I20140423001967

Medical Identifiers

Medical identifiers for Tina Lee Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104946383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 15164 (California)Primary

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. Tina Lee 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
Tina Lee Moon, PA-C
7809 Hemlock Ave,
Hesperia, CA 92345-4119

Ph: (951) 830-0496
Tina Lee Moon, PA-C
1334 W Covina Blvd, Suite 102,
San Dimas, CA 91773-3211

Ph: (909) 599-8677

Reviews and Comments


Physician Assistant Nurses in San Dimas, CA

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Heidi K White, P.A.
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Phone: 909-599-9921    Fax: 909-592-3147
Arthur Amanfo, PA-C
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Practice Location: 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773
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Phone: 909-592-9778    Fax: 909-599-6126
Sandy Thai Yokota, PA-C
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Phone: 909-394-2506    
Amanda Marie Richardson,
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Practice Location: 306 N Basilio Ave, San Dimas, CA 91773
Phone: 909-754-0280    

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.