Dr Taewha Carolyn Moon, OD - Medicare Optometrist in Palisades Park, NJ

Dr Taewha Carolyn Moon, OD is a medicare enrolled "Optometrist" provider in Palisades Park, New Jersey. Her current practice location is 225 Broad Ave Ste 206, Palisades Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 585-1337.

Dr Taewha Carolyn Moon is licensed to practice in New Jersey (license number 270A00465400) 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 1972603637.

Contact Information

Dr Taewha Carolyn Moon, OD
225 Broad Ave Ste 206,
Palisades Park, NJ 07650-1590
(201) 585-1337
(201) 585-2998

Map and Direction




Healthcare Provider's Profile

Full NameDr Taewha Carolyn Moon
GenderFemale
SpecialityOptometrist
Location225 Broad Ave Ste 206, Palisades Park, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972603637
  • Provider Enumeration Date: 09/23/2006
  • Last Update Date: 03/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7214998541
  • Enrollment ID: I20041020000994

Medical Identifiers

Medical identifiers for Dr Taewha Carolyn Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972603637NPI-NPPES
5084601MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 270A00465400 (New Jersey)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. Dr Taewha Carolyn Moon allows following entities to bill medicare on her behalf.
Provider NameCharles M Cummins, Od, Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1598797722
PECOS PAC ID: 0446246995
Enrollment ID: O20040719000496
Provider NameCoopercrwn Nj
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801083050
PECOS PAC ID: 4789942350
Enrollment ID: O20180103002433

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. Dr Taewha Carolyn 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
Dr Taewha Carolyn Moon, OD
225 Broad Ave Ste 206,
Palisades Park, NJ 07650-1590

Ph: (201) 585-1337
Dr Taewha Carolyn Moon, OD
225 Broad Ave Ste 206,
Palisades Park, NJ 07650-1590

Ph: (201) 585-1337

Reviews and Comments


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Phone: 201-585-1337    Fax: 201-585-2998
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Practice Location: 121 Broad Ave, Palisades Park, NJ 07650
Phone: 201-346-1500    Fax: 201-346-1549
John J Kim, O.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 540 Bergen Blvd, Palisades Park, NJ 07650
Phone: 201-461-3970    Fax: 201-242-9061

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.