Tara Moon, MD - Medicare Pediatrics in Statesville, NC

Tara Moon, MD is a medicare enrolled "Pediatrics" physician in Statesville, North Carolina. Her current practice location is 1410 Fern Creek Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 978-2379.

Tara Moon is licensed to practice in North Carolina (license number 2015-01302) 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 1336403211.

Contact Information

Tara Moon, MD
1410 Fern Creek Dr,
Statesville, NC 28625-9376
(704) 978-2379
(704) 978-2380



Physician's Profile

Full NameTara Moon
GenderFemale
SpecialityPediatrics
Location1410 Fern Creek Dr, Statesville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336403211
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 09/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496994832
  • Enrollment ID: I20160201001830

Medical Identifiers

Medical identifiers for Tara Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336403211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2015-01302 (North Carolina)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. Tara Moon allows following entities to bill medicare on her behalf.
Entity NameScotland Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033103767
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382

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Entity NameGateway Community Health Centers, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487936514
PECOS PAC ID: 9234356015
Enrollment ID: O20160120001420

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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. Tara 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
Tara Moon, MD
1410 Fern Creek Dr,
Statesville, NC 28625-9376

Ph: (704) 978-2379
Tara Moon, MD
1410 Fern Creek Dr,
Statesville, NC 28625-9376

Ph: (704) 978-2379

News Archive

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Pediatrics Doctors in Statesville, NC

Dr. Jon Ryan Hutchinson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 558 Kitchings Dr, Statesville, NC 28677
Phone: 704-838-8255    Fax: 704-871-9099
Elizabeth Whitley Fickling Rashley, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 129 Sherlock Dr, Statesville, NC 28625
Phone: 704-838-8245    
Ellyn Pearson Mullis, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1022 Shelton Ave, Statesville, NC 28677
Phone: 704-768-2088    Fax: 704-768-2081
Geoffrey Alan Abell, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 925 Thomas St Ste A, Statesville, NC 28677
Phone: 704-872-9595    Fax: 704-872-5851
Walter Curtis Gessler, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 129 Sherlock Dr, Statesville, NC 28625
Phone: 704-838-8245    
Andrea Iyekepolo,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 129 Sherlock Dr, Statesville, NC 28625
Phone: 704-838-8245    Fax: 704-924-4282

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