Soon Moon, DO in Kingsport, TN - Medicare General Surgery

Soon Moon, DO is a medicare enrolled "Surgery" physician in Kingsport, Tennessee. She went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2019 and has 6 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Tmh Physician Associates Pllc and her current practice location is 130 W Ravine Rd Ste 3a, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-4000.

Soon Moon is licensed to practice in Tennessee (license number 6474) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902367188.

Contact Information

	Soon Moon, DO
	130 W Ravine Rd Ste 3a, Kingsport, TN 37660-3841
	(423) 224-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Soon Moon
Gender	Female
Speciality	General Surgery
Experience	6 Years
Location	130 W Ravine Rd Ste 3a, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Soon Moon attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2019

NPI Data:

NPI Number: 1902367188
Provider Enumeration Date: 03/28/2019
Last Update Date: 10/21/2025

Medicare PECOS Information:

PECOS PAC ID: 9830432426
Enrollment ID: I20241113001846

Medical Identifiers

Medical identifiers for Soon Moon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902367188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	6474 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Houston Methodist Hospital	Houston, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tmh Physician Associates Pllc	4486711744	1766

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. Soon Moon allows following entities to bill medicare on her behalf.

Entity Name	Tmh Physician Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100

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. Soon 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
Soon Moon, DO 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111	Soon Moon, DO 130 W Ravine Rd Ste 3a, Kingsport, TN 37660-3841 Ph: (423) 224-4000

Reviews and Comments

Surgery Doctors in Kingsport, TN

Mark H Kadowaki, MD Surgery Medicare: Medicare Enrolled Practice Location: 121 E Ravine Rd, Suite 200, Kingsport, TN 37660 Phone: 423-408-7050 Fax: 423-408-7054
George M Testerman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5826 Fax: 423-224-6242
Dr. Cheryl Stanski, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 4a, Kingsport, TN 37660 Phone: 423-392-6265 Fax: 423-392-6272
Andrew Phillip Kramer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 Phone: 423-245-6101 Fax: 423-245-2396
Dr. Jeffrey R Kappa, MD Surgery Medicare: Medicare Enrolled Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-245-2396
Robert Anthony Ferguson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000
Dr. Elizabeth Michele Jackson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St, Suite 2900, Kingsport, TN 37660 Phone: 423-245-6101 Fax: 423-245-2396

Soon Moon, DO - Medicare General Surgery in Kingsport, TN