Susan M Moon (NPI# 1497912174, PAC ID# 7810905007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1497912174 |
| PAC ID by PECOS | 7810905007 |
| Professional Enrollment ID | I20090921000424 |
| Full Name | Susan M Moon |
| Address |
621 E Lake St Tawas City MI 48763-9213 |
| Gender | F |
| Credential | OD |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 1988 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 621 E Lake St, Tawas City, MI 48763-9213 |
| Street Address |
621 E LAKE ST |
| City | TAWAS CITY |
| State | MI |
| Zip | 48763-9213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rod R Wright | Podiatry | 166 M, Suite 55, Tawas City, MI 48763 | |
| Devendra K Sharma | Family Practice | Tawas Bay Family Practice PC | 541 W Lake St, Tawas City, MI 48763-5105 |
| Cheryl A Miller | Nurse Practitioner | Tawas Bay Family Practice PC | 541 W Lake St, Tawas City, MI 48763-5105 |
| Sarah D Woods | Nurse Practitioner | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Jeffrey Chadwick | Optometry | 325 E M, Suite 55, Tawas City, MI 48763-8211 | |
| Jennifer Tawn Horton | Physician Assistant | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Glen D Enzenberger | Family Medicine | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Victoria Mcgillis | Nurse Practitioner | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Judy E Herbolsheimer | Physician Assistant | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Dwight H Fiske | Physician Assistant | St Joseph Health System Inc | 325 E M, 55 Suite B, Tawas City, MI 48763-8211 |
| Find all physicians in zip 48763 | |||
| City | TAWAS CITY |
| Zip Code | 48763 |
| Specialty | OPTOMETRY |
| City + Specialty | TAWAS CITY + OPTOMETRY |
Please comment or provide details below to improve the information on Susan M Moon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.