| Dr Stephen Patrick Moon, MD | |
|
3838 Pacific Ave, Forest Grove, OR 97116-2224 | |
| (503) 992-0288 | |
| (503) 359-4742 |
| Full Name | Dr Stephen Patrick Moon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 3838 Pacific Ave, Forest Grove, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003890997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD17858 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santiam Hospital | Stayton, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santiam Memorial Hospital | 6103729751 | 95 |
| Entity Name | Santiam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302214 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
| Entity Name | Western Healthcare Services Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336878024 PECOS PAC ID: 7911388202 Enrollment ID: O20220718002665 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Patrick Moon, MD 16788 Sw Sarala St, Aloha, OR 97007-6572 Ph: (503) 380-1641 | Dr Stephen Patrick Moon, MD 3838 Pacific Ave, Forest Grove, OR 97116-2224 Ph: (503) 992-0288 |
Dr. Kimthuy Tuan Le, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-357-2172 | |
John Joseph Kaib, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-357-2173 Fax: 503-357-2318 | |
David Nerseth Irvine, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-357-2173 Fax: 503-357-2318 | |
Miroslav Kavur, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-357-2318 | |
Robert James Eichner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-357-2318 |