| Rachel Y Moon, MD | |
|
1204 W Main St, Charlottesville, VA 22903-2824 | |
| (434) 924-0123 | |
| (434) 243-3300 |
| Full Name | Rachel Y Moon |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1204 W Main St, Charlottesville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669557385 | NPI | - | NPPES |
| 6708692 | Medicaid | VA | |
| 024400600 | Medicaid | DC | |
| 325191800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101259008 (Virginia) | Primary |
| Entity Name | Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Y Moon, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: Not Available | Rachel Y Moon, MD 1204 W Main St, Charlottesville, VA 22903-2824 Ph: (434) 924-0123 |
Jennifer Moore Andrews, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-0123 Fax: 434-924-3300 |
Linda A. Waggoner Fountain, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-0123 Fax: 434-243-3300 |
Marion Elizabeth Szwedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-977-6068 |
Dr. Gregory Rees Sturz, DO, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Box 800501, Charlottesville, VA 22908 Phone: 494-942-5321 Fax: 434-982-3816 |
Mr. Carlos Eladio Armengol, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-296-1036 |
Richard D. Stevenson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-0123 Fax: 434-243-3300 |
James L. Sutphen, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Lee St, Charlottesville, VA 22908 Phone: 434-924-0000 |