Tara Moon, MD - Medicare Pediatrics in Statesville, NC

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 NameTara Moon
GenderFemale
SpecialityPediatrics
Location1410 Fern Creek Dr, Statesville, North Carolina
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1336403211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 NameScotland Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033103767
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382
Entity NameGateway Community Health Centers, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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 Iyekepolo,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 129 Sherlock Dr, Statesville, NC 28625
Phone: 704-838-8245    Fax: 704-924-4282

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.