Taesun Moon, DO | |
600 Somerset Ave, Windber, PA 15963-1331 | |
(814) 467-4750 | |
(814) 467-4751 |
Full Name | Taesun Moon |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 8 Years |
Location | 600 Somerset Ave, Windber, Pennsylvania |
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 |
---|---|---|---|
1760595755 | NPI | - | NPPES |
OS016770 | Other | PA | MEDICAL LICENSE |
2808280 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 240499 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chan Soon- Shiong Medical Center At Windber | Windber, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Windber Hospital Inc | 9234187576 | 28 |
Entity Name | Windber Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376543942 PECOS PAC ID: 9234187576 Enrollment ID: O20071220000272 |
Mailing Address | Practice Location Address |
---|---|
Taesun Moon, DO 161 Kenwood Ave, Oneida, NY 13421-2829 Ph: (718) 496-4981 | Taesun Moon, DO 600 Somerset Ave, Windber, PA 15963-1331 Ph: (814) 467-4750 |
Dianna Craig, Surgery Medicare: Medicare Enrolled Practice Location: 600 Somerset Ave, Windber, PA 15963 Phone: 814-467-0044 | |
Dr. Trudi J Brown, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Somerset Ave, Windber, PA 15963 Phone: 814-467-0044 Fax: 814-467-0725 | |
Dr. Peter Marcel Bertin, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Somerset Ave, Windber, PA 15963 Phone: 814-467-4750 Fax: 814-467-4751 | |
Dr. Dewitt E Kemp, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Somerset Ave, Windber, PA 15963 Phone: 814-467-3653 Fax: 814-467-3655 |