Jong Yeoung Moon, MD is a medicare enrolled "Internal Medicine" physician in Coalinga, California. He graduated from medical school in 1990 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Department Of State Hospitals and his current practice location is
24511 W Jayne Ave, Coalinga, California. You can reach out to his office (for appointments etc.) via phone at
(559) 935-4300.
Jong Yeoung Moon is licensed to practice in California (license number C52501) 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 1598753956.
Physician's Profile
| Full Name | Jong Yeoung Moon |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 35 Years |
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| Location | 24511 W Jayne Ave, Coalinga, 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:
- Jong Yeoung Moon graduated from medical school in 1990
NPI Data:
- NPI Number: 1598753956
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 10/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 3577587567
- Enrollment ID: I20080212000668
Medical Identifiers
Medical identifiers for Jong Yeoung Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598753956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | C52501 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Department Of State Hospitals | 9638174238 | 222 |
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. Jong Yeoung Moon allows following entities to bill medicare on his behalf.
| Entity Name | Department Of State Hospitals |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305 |
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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. Jong Yeoung 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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Jong Yeoung Moon, MD
24511 West Jayne Ave P.o Box 5002,
Coalinga, CA 93210-5002
Ph: (559) 935-4300 | Jong Yeoung Moon, MD
24511 W Jayne Ave,
Coalinga, CA 93210-9503
Ph: (559) 935-4300 |
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