Dr Benjamin Jon Moreno, MD, PHD in Fort Wayne, IN

Dr Benjamin Jon Moreno, MD, PHD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Wayne, Indiana. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Fort Wayne Radiology Associates Llc, Fort Wayne Radiology Associates Llc, Community Hospitals And Wellness Centers and his current practice location is 3707 New Vision Dr Ste 110, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 469-6602.

Dr Benjamin Jon Moreno is licensed to practice in Indiana (license number 01070072) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013163526.

Contact Information

	Dr Benjamin Jon Moreno, MD, PHD
	3707 New Vision Dr Ste 110, Fort Wayne, IN 46845-1702
	(260) 469-6602
	(260) 484-5919

Map and Direction

Physician's Profile

Full Name	Dr Benjamin Jon Moreno
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	3707 New Vision Dr Ste 110, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Benjamin Jon Moreno attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2005

NPI Data:

NPI Number: 1013163526
Provider Enumeration Date: 08/15/2008
Last Update Date: 03/05/2021

Medicare PECOS Information:

PECOS PAC ID: 4789862228
Enrollment ID: I20110701000238

Medical Identifiers

Medical identifiers for Dr Benjamin Jon Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013163526	NPI	-	NPPES
201028590	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	01070072 (Indiana)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	01070072 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Dekalb Health	Auburn, IN	Hospital
Parkview Huntington Hospital	Huntington, IN	Hospital
Parkview Noble Hospital	Kendallville, IN	Hospital
Community Hospitals And Wellness Centers	Bryan, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Wayne Radiology Associates Llc	5294624060	35
Fort Wayne Radiology Associates Llc	5294624060	35
Community Hospitals And Wellness Centers	7517878093	54

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 Benjamin Jon Moreno allows following entities to bill medicare on his behalf.

Entity Name	Fort Wayne Radiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063475861 PECOS PAC ID: 5294624060 Enrollment ID: O20040329000698

Entity Name	Breast Diagnostic Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790748499 PECOS PAC ID: 9335189513 Enrollment ID: O20050506000308

Entity Name	P.e.t. Imaging Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992768691 PECOS PAC ID: 2668412842 Enrollment ID: O20050506000346

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 Benjamin Jon Moreno 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 Benjamin Jon Moreno, MD, PHD 3707 New Vision Dr, Fort Wayne, IN 46845-1702 Ph: (260) 469-6602	Dr Benjamin Jon Moreno, MD, PHD 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845-1702 Ph: (260) 469-6602

Reviews and Comments

Radiology Doctors in Fort Wayne, IN

Dr. Andre Byard Stovall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969
Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290
Dr. Gregg R Mattison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895 Phone: 260-471-9466 Fax: 260-484-5919
Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919
Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969
Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969

Dr Benjamin Jon Moreno, MD, PHD - Medicare Diagnostic Radiology in Fort Wayne, IN