| Paul Oh Sung Moon, MD | |
|
1810 E 19th St Ste 225, The Dalles, OR 97058-3388 | |
| (541) 296-6101 | |
| (541) 296-0025 |
| Full Name | Paul Oh Sung Moon |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 1810 E 19th St Ste 225, The Dalles, 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 |
|---|---|---|---|
| 1689690398 | NPI | - | NPPES |
| 056940 | Medicaid | OR | |
| 8149056 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD18425 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid-columbia Medical Center | The dalles, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-columbia Medical Center | 3779487251 | 97 |
| Entity Name | Mid-columbia Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
| Entity Name | St Anthony Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831169903 PECOS PAC ID: 3678568268 Enrollment ID: O20040414001635 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Oh Sung Moon, MD 1810 E 19th St Ste 225, The Dalles, OR 97058-3388 Ph: (541) 296-6101 | Paul Oh Sung Moon, MD 1810 E 19th St Ste 225, The Dalles, OR 97058-3388 Ph: (541) 296-6101 |
William Claude Hamilton, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-506-6424 Fax: 541-296-7650 | |
Caitlin K Mccarthy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1810 E 19th St, Suite 225, The Dalles, OR 97058 Phone: 541-296-6101 Fax: 541-296-0025 |