311 N 4TH ST SUITE 101
OAKLAND, MD 21550-1371 US PECOS Enrolled
Overview
Daniel L Moon is a Nurse Practitioner (Family) in the OAKLAND area and has over 15 years of experience. Daniel L Moon primary office location is at 311 N 4TH ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2009
Daniel L Moon is affiliated with one hospital in the OAKLAND area, GARRETT REGIONAL MEDICAL CENTER. The NPI number is 1255561312 and the information was updated approximately 12 years ago.
Daniel L Moon is affiliated with one medical group in the OAKLAND area, SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| R114948 | MD |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 334403700 | MD |
| MEDICAID | 3810017953 | WV |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Family) - Taxonomy Code 363LF0000X | MD | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20091229000132 |
| PECOS Individual PAC ID: | 4082754981 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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