Dr Ambria Moten, MD in Fort Wayne, IN

Dr Ambria Moten, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Fort Wayne, Indiana. Her current practice location is 11050 Parkview Circle Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (833) 274-8326.

Dr Ambria Moten is licensed to practice in Indiana (license number 01090665A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558773408.

Contact Information

	Dr Ambria Moten, MD
	11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739
	(833) 274-8326
	(260) 266-7935

Map and Direction

Physician's Profile

Full Name	Dr Ambria Moten
Gender	Female
Speciality	Surgery - Surgical Oncology
Location	11050 Parkview Circle Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558773408
Provider Enumeration Date: 05/27/2014
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2567756901
Enrollment ID: I20230825000357

Medical Identifiers

Medical identifiers for Dr Ambria Moten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558773408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MT206256 (Pennsylvania)	Secondary
2086X0206X	Surgery - Surgical Oncology	01090665A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ambria Moten allows following entities to bill medicare on her behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ambria Moten is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ambria Moten, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Dr Ambria Moten, MD 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 Ph: (833) 274-8326

Reviews and Comments

Surgery Doctors in Fort Wayne, IN

Dr. Barton Wade Williams, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11108 Parkview Circle Dr Ste 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805
Dr. Ian H. Cook, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Veterans Affairs Medical Center, Fort Wayne, IN 46805 Phone: 260-426-5431
Dr. Patricia L Clark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-425-6845
Dr. Paul Mitchell Bauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Lutheran Hospital, 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Lindsay B Hardley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-425-6845
Kingsley Saahene Okai, MD Surgery Medicare: Medicare Enrolled Practice Location: 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804 Phone: 260-969-7121 Fax: 260-479-4614
Dr. Keith David Clancy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804 Phone: 260-458-3610 Fax: 260-458-3611

Dr Ambria Moten, MD - Medicare Surgery in Fort Wayne, IN