| Wong Kyun Moon, MD | |
|
400 13th Ave S Ste 101, Great Falls, MT 59405-4300 | |
| (406) 455-2831 | |
| (406) 455-2824 |
| Full Name | Wong Kyun Moon |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 33 Years |
| Location | 400 13th Ave S Ste 101, Great Falls, Montana |
| 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 |
|---|---|---|---|
| 1326093980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 171635 (Montana) | Primary |
| 208600000X | Surgery | 266214 (New York) | Secondary |
| 208200000X | Plastic Surgery | 266214 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3741 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | San Joaquin Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538157508 PECOS PAC ID: 1557390580 Enrollment ID: O20050810000537 |
| Entity Name | Kern County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376623538 PECOS PAC ID: 4688964521 Enrollment ID: O20160915002690 |
| Mailing Address | Practice Location Address |
|---|---|
| Wong Kyun Moon, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 204-8168 | Wong Kyun Moon, MD 400 13th Ave S Ste 101, Great Falls, MT 59405-4300 Ph: (406) 455-2831 |
Emilia A Ploplys, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 13th Ave S, Suite 103, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8876 |