Organization
NEW MOON MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN WORTHINGTON (PRESIDENT)
(859) 737-5154
Entity
Organization
Contact information
Practice address
1210 W LEXINGTON AVE, SUITE B, WINCHESTER, KY 40391-1127
(859) 737-5154
(877) 737-1881
Mailing address
PO BOX 331, WINCHESTER, KY 40392-0331
(859) 737-5154
(877) 737-1881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
184257
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1865915
HIGHMARK BLUE SHIELD
KY
01
—
393322
ANTHEM PROVIDER #
KY
01
—
7436866
AETNA PIN #
KY
05
—
90012758
—
KY
01
—
D 5624460001
UNITED AMERICAN INSURANCE
KY
Enumeration date
12/21/2006
Last updated
06/13/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up