Justine Sherylyn Moe, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Ann Arbor, Michigan. She went to Emory University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Maxillofacial Surgery. She is a member of the group practice Regents Of The University Of Michigan and her current practice location is
1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 936-4000.
Justine Sherylyn Moe is licensed to practice in Michigan (license number 4301111526) 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 1104143833.
Healthcare Provider's Profile
Full Name | Justine Sherylyn Moe |
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Gender | Female |
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Speciality | Maxillofacial Surgery |
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Experience | 7 Years |
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Location | 1500 E Medical Center Dr, Ann Arbor, 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:
- Justine Sherylyn Moe attended and graduated from Emory University School Of Medicine in 2017
NPI Data:
- NPI Number: 1104143833
- Provider Enumeration Date: 04/20/2010
- Last Update Date: 11/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880963917
- Enrollment ID: I20180906002293
Medical Identifiers
Medical identifiers for Justine Sherylyn Moe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104143833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4301111526 (Michigan) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4301111526 (Michigan) | Secondary |
208600000X | Surgery | 4301111526 (Michigan) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 4301111526 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Regents Of The University Of Michigan | 3779496856 | 2953 |
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. Justine Sherylyn Moe allows following entities to bill medicare on her behalf.
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467487694 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000646 |
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Entity Name | Edward W Sparrow Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457744666 PECOS PAC ID: 6709799166 Enrollment ID: O20150529000465 |
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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. Justine Sherylyn Moe 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 |
Justine Sherylyn Moe, MD, DDS 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Justine Sherylyn Moe, MD, DDS 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
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