Dr Timothy W Moon, DO - Medicare Family Medicine in Gouverneur, NY

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Dr Timothy W Moon, DO is a medicare enrolled "Family Medicine" physician in Gouverneur, New York. His current practice location is 173 E Main St, Gouverneur, New York. You can reach out to his office (for appointments etc.) via phone at (315) 287-3285.

Dr Timothy W Moon is licensed to practice in New York (license number 224227) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215957832.

Contact Information

Dr Timothy W Moon, DO
173 E Main St,
Gouverneur, NY 13642-1510
(315) 287-3285
(315) 287-3280

Map and Direction




Physician's Profile

Full NameDr Timothy W Moon
GenderMale
SpecialityFamily Medicine
Location173 E Main St, Gouverneur, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215957832
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 08/29/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8729072046
  • Enrollment ID: I20230605000222

Medical Identifiers

Medical identifiers for Dr Timothy W Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215957832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 224227 (New York)Primary

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 Timothy W Moon allows following entities to bill medicare on his behalf.
Entity NameRosa Clark Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508903394
PECOS PAC ID: 2466741657
Enrollment ID: O20160511000856

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 Timothy W 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 AddressPractice Location Address
Dr Timothy W Moon, DO
445 Factory St,
Watertown, NY 13601-2729

Ph: (315) 782-4207		Dr Timothy W Moon, DO
173 E Main St,
Gouverneur, NY 13642-1510

Ph: (315) 287-3285

Reviews and Comments


Family Medicine Doctors in Gouverneur, NY

Gerald L Calabrese, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-287-1000    
Teresa V Dombek-lang, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 77 W. Barney St., Gouverneur, NY 13642
Phone: 315-287-4440    Fax: 315-287-1858
Nadhia Celestin, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Barney St, Gouverneur, NY 13642
Phone: 315-287-4440    Fax: 315-287-1858

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.