Chul So Moon, MD in Wyoming, MN - Medicare Internal Medicine

Chul So Moon, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Wyoming, Minnesota. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Samaritan Hospital Of Troy, New York, St Peters Hospital Of The City Of Albany and his current practice location is 5200 Fairview Blvd, Wyoming, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 982-7000.

Chul So Moon is licensed to practice in Minnesota (license number 69841) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316999055.

Contact Information

	Chul So Moon, MD
	5200 Fairview Blvd, Wyoming, MN 55092-8013
	(651) 982-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Chul So Moon
Gender	Male
Speciality	Internal Medicine
Experience	34 Years
Location	5200 Fairview Blvd, Wyoming, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chul So Moon graduated from medical school in 1990

NPI Data:

NPI Number: 1316999055
Provider Enumeration Date: 05/17/2006
Last Update Date: 04/06/2024

Medicare PECOS Information:

PECOS PAC ID: 0042352148
Enrollment ID: I20170922002381

Medical Identifiers

Medical identifiers for Chul So Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316999055	NPI	-	NPPES
699108400	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	LT4202 (New Hampshire)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	27463 (Oklahoma)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	20654 (New Hampshire)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	290840 (New York)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	D54806 (Maryland)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	MD442671 (Pennsylvania)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	69841 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Hospital	Troy, NY	Hospital
St Peter's Hospital	Albany, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Samaritan Hospital Of Troy, New York	6507770070	180
St Peters Hospital Of The City Of Albany	2668460072	183

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. Chul So Moon allows following entities to bill medicare on his behalf.

Entity Name	Samaritan Hospital Of Troy, New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782

Entity Name	St Peters Hospital Of The City Of Albany
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301

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. Chul So 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
Chul So Moon, MD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7000	Chul So Moon, MD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7000

Reviews and Comments

Internal Medicine Doctors in Wyoming, MN

Dr. Margaret Olubunmi Daramola, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000
Christopher Lee Walker, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000
Aaron Michael Wasson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 612-672-6999
Kent W Svee, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7690
Dr. Byron Kendall Herpich, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 Fax: 651-982-7110
Terry Martinson, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7690
Clifford Jean, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000

Chul So Moon, MD - Medicare Internal Medicine in Wyoming, MN