| Jennifer Frances Moon, AA-C | |
|
701 Grove Rd, Greenville, SC 29605-4210 | |
| (864) 455-3076 | |
| Not Available |
| Full Name | Jennifer Frances Moon |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 25 Years |
| Location | 701 Grove Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306836986 | NPI | - | NPPES |
| AA0002 | Medicaid | SC | |
| C0650 | Other | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 3 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Medical Center | Rock hill, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Rock Hill Pa | 6305740259 | 43 |
| East Carolina Anesthesia Associates Pllc | 5092720813 | 464 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Anesthesia Associates Of Rock Hill Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811977200 PECOS PAC ID: 6305740259 Enrollment ID: O20031121000543 |
| Entity Name | Prisma Health-upstate |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Frances Moon, AA-C 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Jennifer Frances Moon, AA-C 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 455-3076 |
Stephen Chas Goodwin, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. Christopher Robert Brown, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Tyler K Childers, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 | |
Taylor Douglas Vance, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 Fax: 864-455-4135 | |
Allison Paige Hathaway, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Daniel Ziebko, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 |