Susan Marie Moon, OD is a medicare enrolled "Optometrist" provider in Tawas City, Michigan. She went to Ferris State College - College Of Optometry and graduated in 1988 and has 38 years of diverse experience with area of expertise as Optometry. Her current practice location is
621 E Lake St, Tawas City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 984-0929.
Susan Marie Moon is licensed to practice in Michigan (license number 4901003215) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497912174.
Healthcare Provider's Profile
| Full Name | Susan Marie Moon |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 38 Years |
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| Location | 621 E Lake St, Tawas City, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Susan Marie Moon attended and graduated from Ferris State College - College Of Optometry in 1988
NPI Data:
- NPI Number: 1497912174
- Provider Enumeration Date: 05/20/2008
- Last Update Date: 07/31/2009
Medicare PECOS Information:
- PECOS PAC ID: 7810905007
- Enrollment ID: I20090921000424
Medical Identifiers
Medical identifiers for Susan Marie Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497912174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 4901003215 (Michigan) | 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. Susan Marie Moon allows following entities to bill medicare on her behalf.
| Provider Name | Sunrise Vision Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982933586 PECOS PAC ID: 1254464399 Enrollment ID: O20100727000319 |
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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. Susan Marie 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 |
Susan Marie Moon, OD Po Box 231, East Tawas, MI 48730-0231 Ph: (989) 984-0929 | Susan Marie Moon, OD 621 E Lake St, Tawas City, MI 48763-9213 Ph: (989) 984-0929 |
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