Susan Marie Moon, OD is a medicare enrolled "Optometrist" provider in Tawas City, Michigan. She went to Ferris State College - College Of Optometry and graduated in 1988 and has 36 years of diverse experience with area of expertise as Optometry. Her current practice location is
621 E Lake St, Tawas City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 984-0929.
Susan Marie Moon is licensed to practice in Michigan (license number 4901003215) 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 1497912174.
Healthcare Provider's Profile
Full Name | Susan Marie Moon |
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Gender | Female |
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Speciality | Optometry |
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Experience | 36 Years |
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Location | 621 E Lake St, Tawas City, Michigan |
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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:
- Susan Marie Moon attended and graduated from Ferris State College - College Of Optometry in 1988
NPI Data:
- NPI Number: 1497912174
- Provider Enumeration Date: 05/20/2008
- Last Update Date: 07/31/2009
Medicare PECOS Information:
- PECOS PAC ID: 7810905007
- Enrollment ID: I20090921000424
Medical Identifiers
Medical identifiers for Susan Marie Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497912174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901003215 (Michigan) | 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. Susan Marie Moon allows following entities to bill medicare on her behalf.
Provider Name | Sunrise Vision Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1982933586 PECOS PAC ID: 1254464399 Enrollment ID: O20100727000319 |
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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. Susan Marie 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 |
Susan Marie Moon, OD Po Box 231, East Tawas, MI 48730-0231 Ph: (989) 984-0929 | Susan Marie Moon, OD 621 E Lake St, Tawas City, MI 48763-9213 Ph: (989) 984-0929 |
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