Kyong Rok Moon, MD - Medicare Emergency Medicine in Griffin, GA

Kyong Rok Moon, MD is a medicare enrolled "Family Medicine" physician in Griffin, Georgia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Wellstreet Of Georgia Pc and his current practice location is 1657 N Expressway, Griffin, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 228-2641.

Kyong Rok Moon is licensed to practice in Georgia (license number 001957) 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 1326263401.

Contact Information

Kyong Rok Moon, MD
1657 N Expressway,
Griffin, GA 30223-1276
(770) 228-2641
(770) 467-9764



Physician's Profile

Full NameKyong Rok Moon
GenderMale
SpecialityEmergency Medicine
Experience21 Years
Location1657 N Expressway, Griffin, Georgia
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:
  • Kyong Rok Moon graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1326263401
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 11/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7416083415
  • Enrollment ID: I20100330000078

Medical Identifiers

Medical identifiers for Kyong Rok Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326263401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 001957 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstreet Of Georgia Pc7517126279377

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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. Kyong Rok Moon allows following entities to bill medicare on his behalf.
Entity NameUnited Emergency Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326007915
PECOS PAC ID: 5799697272
Enrollment ID: O20040819000058

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Entity NameWellstreet Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603

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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. Kyong Rok 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
Kyong Rok Moon, MD
1080 Elle Ct Se,
Smyrna, GA 30080-1906

Ph: (404) 416-5920
Kyong Rok Moon, MD
1657 N Expressway,
Griffin, GA 30223-1276

Ph: (770) 228-2641

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Family Medicine Doctors in Griffin, GA

Mr. Kenneth Dale Autry, FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 726 S 8th St, Griffin, GA 30224
Phone: 770-228-2273    
Vicki Lyndall Van, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 747 S Hill St, Griffin, GA 30224
Phone: 770-228-5407    
David Anthony De La Sierra, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 528 S 8th St, Griffin, GA 30224
Phone: 770-467-1224    Fax: 770-467-1225
James Gore, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1657 N Expressway, Griffin, GA 30223
Phone: 770-228-2641    Fax: 770-467-9764
Erin Kathleen Jones, MSN, APRN, FNP-BC
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 747 S Hill St, Griffin, GA 30224
Phone: 770-228-5707    
Osara Dhevmi Malalasekara, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 708 S 8th St, Griffin, GA 30224
Phone: 770-228-5402    

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