Dr Jong Chun Moon, MD is a medicare enrolled "General Practice" physician in Shafter, California. He graduated from medical school in 1968 and has 56 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Vanguard Medical Corporation and his current practice location is
406 James St, Shafter, California. You can reach out to his office (for appointments etc.) via phone at
(661) 746-5788.
Dr Jong Chun Moon is licensed to practice in California (license number 00A356070) 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 1760545925.
Physician's Profile
| Full Name | Dr Jong Chun Moon |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 56 Years |
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| Location | 406 James St, Shafter, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jong Chun Moon graduated from medical school in 1968
NPI Data:
- NPI Number: 1760545925
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1153581319
- Enrollment ID: I20120326000266
Medical Identifiers
Medical identifiers for Dr Jong Chun Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760545925 | NPI | - | NPPES |
| RHM53818F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 00A356070 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vanguard Medical Corporation | 4587881685 | 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. Dr Jong Chun Moon allows following entities to bill medicare on his behalf.
| Entity Name | Vanguard Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609281310
PECOS PAC ID: 4587881685
Enrollment ID: O20140813002697 |
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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. Dr Jong Chun 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 |
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Dr Jong Chun Moon, MD
406 James St.,
Shafter, CA 93263
Ph: (661) 746-5788 | Dr Jong Chun Moon, MD
406 James St,
Shafter, CA 93263-2035
Ph: (661) 746-5788 |
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