Tara Moon, MD in Statesville, NC - Medicare Pediatrics

Tara Moon, MD is a medicare enrolled "Pediatrics" physician in Statesville, North Carolina. Her current practice location is 1410 Fern Creek Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 978-2379.

Tara Moon is licensed to practice in North Carolina (license number 2015-01302) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336403211.

Contact Information

	Tara Moon, MD
	1410 Fern Creek Dr, Statesville, NC 28625-9376
	(704) 978-2379
	(704) 978-2380

Map and Direction

Physician's Profile

Full Name	Tara Moon
Gender	Female
Speciality	Pediatrics
Location	1410 Fern Creek Dr, Statesville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336403211
Provider Enumeration Date: 06/26/2012
Last Update Date: 09/10/2020

Medicare PECOS Information:

PECOS PAC ID: 5496994832
Enrollment ID: I20160201001830

Medical Identifiers

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

Identifier	Type	State	Issuer
1336403211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2015-01302 (North Carolina)	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. Tara Moon allows following entities to bill medicare on her behalf.

Entity Name	Scotland Memorial Hospital, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477791507 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382

Entity Name	Granville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275638512 PECOS PAC ID: 1052223757 Enrollment ID: O20040312001033

Entity Name	Gateway Community Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487936514 PECOS PAC ID: 9234356015 Enrollment ID: O20160120001420

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. Tara 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
Tara Moon, MD 1410 Fern Creek Dr, Statesville, NC 28625-9376 Ph: (704) 978-2379	Tara Moon, MD 1410 Fern Creek Dr, Statesville, NC 28625-9376 Ph: (704) 978-2379

Reviews and Comments

Pediatrics Doctors in Statesville, NC

Dr. Jon Ryan Hutchinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 558 Kitchings Dr, Statesville, NC 28677 Phone: 704-838-8255 Fax: 704-871-9099
Elizabeth Whitley Fickling Rashley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245
Ellyn Pearson Mullis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1022 Shelton Ave, Statesville, NC 28677 Phone: 704-768-2088 Fax: 704-768-2081
Geoffrey Alan Abell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 925 Thomas St Ste A, Statesville, NC 28677 Phone: 704-872-9595 Fax: 704-872-5851
Walter Curtis Gessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245
Andrea Evbu Iyekepolo, Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245 Fax: 704-924-4282
Kaitlin M Pace, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 217 Sundance Cir, Statesville, NC 28625 Phone: 336-262-4921

Tara Moon, MD - Medicare Pediatrics in Statesville, NC