Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alice Gail Moon, MSRD, PAC

Individual provider Registered Dietitian · NPI 1790724011

Alice Gail Moon, MSRD, PAC is a Physician Assistant in Livonia, Michigan. Qualified in 1995, 31 years ago. Practices with Comprehensive Pain Solutions PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

20010 Farmington Rd
Livonia, MI 48152-1408
Phone: (248) 471-7171
Fax: (248) 471-1212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 577469 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601002478 (MI)

Record details

NPI number1790724011
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD , PAC
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Comprehensive Pain Solutions Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Livonia