Jessica Sue Moon, in Los Angeles, CA

Jessica Sue Moon, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. Her current practice location is 757 Westwood Plz, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 267-9793.

Jessica Sue Moon is licensed to practice in California (license number A157448) 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 1154858702.

Contact Information

	Jessica Sue Moon,
	757 Westwood Plz, Los Angeles, CA 90095-8358
	(310) 267-9793
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Sue Moon
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	757 Westwood Plz, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154858702
Provider Enumeration Date: 05/15/2017
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0840677894
Enrollment ID: I20220607001563

Medical Identifiers

Medical identifiers for Jessica Sue Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154858702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A157448 (California)	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. Jessica Sue Moon allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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. Jessica Sue 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
Jessica Sue Moon, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Jessica Sue Moon, 757 Westwood Plz, Los Angeles, CA 90095-8358 Ph: (310) 267-9793

Reviews and Comments

Radiology Doctors in Los Angeles, CA

Doron Ben Avi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800
Elton J Tourje, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Room M 335, Los Angeles, CA 90048 Phone: 310-423-8000
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321
Dr. Hanako Yamauchi Farol, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-7571

Jessica Sue Moon, - Medicare Radiology in Los Angeles, CA