Ebonique Moment, MD - Medicare Anesthesiology in Charlotte, NC

Ebonique Moment, MD is a medicare enrolled "Anesthesiology" physician in Charlotte, North Carolina. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Emory Medical Care Foundation Inc and her current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 377-3389.

Ebonique Moment is licensed to practice in Georgia (license number 84641) 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 1730306408.

Contact Information

Ebonique Moment, MD
1000 Blythe Blvd,
Charlotte, NC 28203-5812
(704) 377-3389
Not Available

Map and Direction




Physician's Profile

Full NameEbonique Moment
GenderFemale
SpecialityAnesthesiology
Experience20 Years
Location1000 Blythe Blvd, Charlotte, North 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:
  • Ebonique Moment graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1730306408
  • Provider Enumeration Date: 04/20/2007
  • Last Update Date: 01/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0840337838
  • Enrollment ID: I20200212002863

Medical Identifiers

Medical identifiers for Ebonique Moment such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730306408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology MD35024 (South Carolina)Secondary
207L00000XAnesthesiology 2012-01406 (North Carolina)Secondary
207LP3000XAnesthesiology - Pediatric Anesthesiology 002293 (Georgia)Secondary
207L00000XAnesthesiology 84641 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grady Memorial HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emory Medical Care Foundation Inc4981501814801

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. Ebonique Moment allows following entities to bill medicare on her behalf.
Entity NameEmory Medical Care Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968

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. Ebonique Moment 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
Ebonique Moment, MD
927 East Blvd,
Charlotte, NC 28203

Ph: (704) 377-3389
Ebonique Moment, MD
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: (704) 377-3389

Reviews and Comments


Anesthesiology Doctors in Charlotte, NC

Michael J Mcnelis, MD
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Phone: 704-749-5800    Fax: 704-749-5819
Norman A Holmes, MD
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Dr. James Peter Deering Iii, M.D.
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Dr. Kim Rita Blumberg, MD
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Dr. Adewunmi Abiodun Akande, MD
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Phone: 704-526-0091    Fax: 980-237-6858
Dr. James Michael Doyle, MD
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Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2372    Fax: 704-355-6692
Dr. Charles David Hord, M.D.
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Medicare: Medicare Enrolled
Practice Location: 2825 Randolph Rd, Charlotte, NC 28211
Phone: 704-377-1647    Fax: 704-358-8267

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.