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SAVANNAH MOON D.O.
NPI 1780020529
Surgery - Plastic and Reconstructive Surgery in Fort Lauderdale, FL

Active since May 20, 2013PECOS Enrolled
717 SE 2ND ST STE 100, FORT LAUDERDALE, FL 33301(954) 707-5158 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Savannah Moon D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAVANNAH MOON D.O. (NPI 1780020529) is an individual plastic and reconstructive surgery provider in Fort Lauderdale, Florida, licensed in Florida (OS16209) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780020529
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameSAVANNAH MOONCredential: D.O.
Location Address717 SE 2ND ST STE 100Fort Lauderdale, FL 33301-3639
Mailing Address717 Se 2nd St Ste 100Fort Lauderdale, FL 33301-3639 · (954) 328-1602
Phone(954) 707-5158
Sole ProprietorNo
Enumeration DateMay 20, 2013
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1780020529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in FL · OS16209
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License TRN18792 (FL)
717 SE 2ND ST STE 100, Fort Lauderdale, FL 33301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Moon D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE SCURCI
Surgery (Plastic and Reconstructive Surgery)
717 SE 2ND ST STE 100
FORT LAUDERDALE, FL 33301
Broward County (954) 707-5158
ANESTHESIA DYNAMICS LLC
Anesthesiology
717 SE 2ND ST STE 100
FT LAUDERDALE, FL 33301
Broward County (240) 469-2181
HIMMARSHEE PLASTIC SURGERY PARTNERS
Surgery (Plastic and Reconstructive Surgery)
717 SE 2ND ST STE 100
FORT LAUDERDALE, FL 33301
Broward County (954) 707-5158

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Savannah Moon's NPI number?

The NPI number for Savannah Moon is 1780020529. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Savannah Moon located?

Savannah Moon practices at 717 SE 2nd St Ste 100, Fort Lauderdale, FL 33301. The listed phone number is (954) 707-5158.

What is Savannah Moon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Savannah Moon enrolled in Medicare?

Yes. Savannah Moon is registered in the Medicare PECOS enrollment system.

What insurance does Savannah Moon accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Savannah Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Savannah Moon was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.