| Sang J Moon, NP | |
|
8118 Old York Rd Ste D, Elkins Park, PA 19027-1423 | |
| (215) 635-3151 | |
| (215) 635-3165 |
| Full Name | Sang J Moon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 8118 Old York Rd Ste D, Elkins Park, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740743855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | SP019643 (Pennsylvania) | Primary |
| Entity Name | Primary Homecare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629023593 PECOS PAC ID: 3274437462 Enrollment ID: O20031120000241 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Sang J Moon, NP 8118 Old York Rd Ste D, Elkins Park, PA 19027-1423 Ph: (215) 635-3151 | Sang J Moon, NP 8118 Old York Rd Ste D, Elkins Park, PA 19027-1423 Ph: (215) 635-3151 |
Jaime Levine, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1939 W Cheltenham Ave, Elkins Park, PA 19027 Phone: 215-884-5715 Fax: 215-884-1442 | |
Leigh Noell Myers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8118 Old York Rd, Elkins Park, PA 19027 Phone: 215-635-3151 | |
Ilona Kharazi, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Township Line Rd, Elkins Park, PA 19027 Phone: 215-572-5200 Fax: 215-572-6456 | |
Lauren Keldie Pitel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1939 W Cheltenham Ave, Elkins Park, PA 19027 Phone: 215-884-5715 Fax: 215-884-1442 | |
Ms. Jean Marie Pellegrino, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8118 Old York Rd Ste D, Elkins Park, PA 19027 Phone: 215-635-3151 Fax: 215-635-3165 | |
Beth Chalick-kaplan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8332 Thomson Rd, Elkins Park, PA 19027 Phone: 215-901-9366 | |
Dr. Ann Linguiti Pron, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7930 Montgomery Ave, Elkins Park, PA 19027 Phone: 215-765-6690 Fax: 215-765-6694 |