Dr Martin Ryan Moon, MD - Medicare General Surgery in Florence, KY

Dr Martin Ryan Moon, MD is a medicare enrolled "Surgery" physician in Florence, Kentucky. He went to Creighton University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 4900 Houston Rd, Florence, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 578-5880.

Dr Martin Ryan Moon is licensed to practice in Kentucky (license number 39444) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174516934.

Contact Information

Dr Martin Ryan Moon, MD
4900 Houston Rd,
Florence, KY 41042-4824
(859) 578-5880
(859) 578-5881



Physician's Profile

Full NameDr Martin Ryan Moon
GenderMale
SpecialityGeneral Surgery
Experience30 Years
Location4900 Houston Rd, Florence, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Martin Ryan Moon attended and graduated from Creighton University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1174516934
  • Provider Enumeration Date: 08/26/2005
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931133006
  • Enrollment ID: I20050920000055

Medical Identifiers

Medical identifiers for Dr Martin Ryan Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174516934NPI-NPPES
64108491MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 35-070819 (Ohio)Secondary
208600000XSurgery 39444 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth FlorenceFlorence, KYHospital
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth GrantWilliamstown, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240693

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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 Martin Ryan Moon allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881026169
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

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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. Dr Martin Ryan 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 Martin Ryan Moon, MD
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 578-5800
Dr Martin Ryan Moon, MD
4900 Houston Rd,
Florence, KY 41042-4824

Ph: (859) 578-5880

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Surgery Doctors in Florence, KY

Harish Naidu Nirujogi, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-578-5880    Fax: 859-578-5881
Ramesh Kumar, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7370 Turfway Rd, Florence, KY 41042
Phone: 859-578-5880    Fax: 859-212-4845
Dwayne V Smith, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-212-4625    Fax: 859-212-4638
Magued Nadim Khouzam, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7370 Turfway Rd, Ste 150, Florence, KY 41042
Phone: 859-578-5880    Fax: 859-578-5881

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