Jensen M Moon, LISW in Canton, OH - Medicare Clinical Social Worker Provider

Jensen M Moon, LISW is a medicare enrolled "Social Worker - Clinical" provider in Canton, Ohio. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Commquest Services, Inc. and her current practice location is 1341 Market Ave N, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 453-8252.

Jensen M Moon is licensed to practice in Ohio (license number I.2102686) 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 1790236792.

Contact Information

	Jensen M Moon, LISW
	1341 Market Ave N, Canton, OH 44714-2605
	(330) 453-8252
	(330) 452-4655

Map and Direction

Healthcare Provider's Profile

Full Name	Jensen M Moon
Gender	Female
Speciality	Clinical Social Worker
Experience	6 Years
Location	1341 Market Ave N, Canton, Ohio
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:

Jensen M Moon graduated from medical school in 2018

NPI Data:

NPI Number: 1790236792
Provider Enumeration Date: 10/14/2016
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4385051283
Enrollment ID: I20210319001914

Medical Identifiers

Medical identifiers for Jensen M Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790236792	NPI	-	NPPES
0273660	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2102686 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Commquest Services, Inc.	9335110824	16

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. Jensen M Moon allows following entities to bill medicare on her behalf.

Entity Name	Commquest Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730168311 PECOS PAC ID: 9335110824 Enrollment ID: O20040805001641

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. Jensen M 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
Jensen M Moon, LISW 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 453-8252	Jensen M Moon, LISW 1341 Market Ave N, Canton, OH 44714-2605 Ph: (330) 453-8252

Reviews and Comments

Social Worker in Canton, OH

Mark Woods, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066
Randall Devney, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083
Kristina Marie Drummer, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400
Denise Garner, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2600 7th St. Sw, Canton, OH 44710 Phone: 330-363-6242
Susan Stroup, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066
Nicholas Fulks, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400 Fax: 330-823-7078
Sierra Schempp, SWT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw Ste A, Canton, OH 44718 Phone: 330-493-0083

Jensen M Moon, LISW - Medicare Clinical Social Worker in Canton, OH