| Henry S Moon, MD | |
|
2098 Teron Trce, Ste150, Dacula, GA 30019-1662 | |
| (678) 730-1620 | |
| (678) 730-0858 |
| Full Name | Henry S Moon |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 2098 Teron Trce, Dacula, Georgia |
| 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 |
|---|---|---|---|
| 1780646083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 038311 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reagan Medical Center Llc | 6507779329 | 15 |
| Entity Name | Reagan Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952316747 PECOS PAC ID: 6507779329 Enrollment ID: O20031107000573 |
| Entity Name | Gwinnett Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry S Moon, MD 2098 Teron Trace, Ste150, Dacula, GA 30019-1662 Ph: (678) 730-1620 | Henry S Moon, MD 2098 Teron Trce, Ste150, Dacula, GA 30019-1662 Ph: (678) 730-1620 |
Dr. Mary Lu Mcneill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3605 Braselton Hwy, Suite 101, Dacula, GA 30019 Phone: 678-804-7430 Fax: 678-804-7418 | |
Mrs. Colleen Aletha Montaque, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2926 Mill Park Ct, Dacula, GA 30019 Phone: 347-678-2865 | |
Jocilli Walton, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Auburn Rd Ste 230, Dacula, GA 30019 Phone: 678-232-7332 Fax: 470-300-1100 | |
Dr. Ndubuisi Apu Ndukwe, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 852 Dacula Rd, Dacula, GA 30019 Phone: 770-848-9380 | |
Dr. Amy E. Bailey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 852 Dacula Rd, Dacula, GA 30019 Phone: 770-848-9380 Fax: 770-848-9381 | |
Elvira Jasarevic, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3575 Braselton Hwy, Dacula, GA 30019 Phone: 770-848-5300 | |
Minkailu Sesay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 852 Dacula Rd, Dacula, GA 30019 Phone: 770-848-9380 Fax: 770-848-9381 |