Seong-jin Moon, MD is a medicare enrolled "Neurological Surgery" physician in Palm Coast, Florida. His current practice location is
61 Memorial Medical Pkwy Ste 3808, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 586-4293.
Seong-jin Moon is licensed to practice in Florida (license number ME173842) 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 1154717528.
Physician's Profile
| Full Name | Seong-jin Moon |
|---|
| Gender | Male |
|---|
| Speciality | Neurological Surgery |
|---|
| Location | 61 Memorial Medical Pkwy Ste 3808, Palm Coast, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1154717528
- Provider Enumeration Date: 04/12/2015
- Last Update Date: 09/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395047138
- Enrollment ID: I20221020003314
Medical Identifiers
Medical identifiers for Seong-jin Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154717528 | NPI | - | NPPES |
| 2154000 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | ME173842 (Florida) | 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. Seong-jin Moon allows following entities to bill medicare on his behalf.
| Entity Name | Franciscan Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789 |
|---|
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. Seong-jin 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 |
|---|
Seong-jin Moon, MD
770 W Granada Blvd Ste 101,
Ormond Beach, FL 32174-5179
Ph: (386) 231-4746 | Seong-jin Moon, MD
61 Memorial Medical Pkwy Ste 3808,
Palm Coast, FL 32164-5982
Ph: (386) 586-4293 |
Reviews and Comments