Dr D Scott Moore, DO | |
2001 W 86th St, Indianapolis, IN 46260-1902 | |
(317) 802-3140 | |
(317) 870-0499 |
Full Name | Dr D Scott Moore |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | 2001 W 86th St, Indianapolis, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972667665 | NPI | - | NPPES |
01182507 | Other | GA | AMERIGROUP |
300025719 | Medicaid | IN | |
483409800D | Medicaid | GA | |
O10393 | Medicaid | SC | |
483409800C | Medicaid | GA | |
009976045 | Medicaid | AL | |
483409800 | Medicaid | SC | |
483409800B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1039 (South Carolina) | Secondary |
207P00000X | Emergency Medicine | 02002731A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry County Memorial Hospital | New castle, IN | Hospital |
Hancock Regional Hospital | Greenfield, IN | Hospital |
St Vincent Heart Center | Indianapolis, IN | Hospital |
Ascension St Vincent Fishers | Fishers, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America Llc | 6608056171 | 569 |
Entity Name | St. Vincent Emergency Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306891700 PECOS PAC ID: 1759363450 Enrollment ID: O20040720000734 |
Entity Name | Indiana Physician Management-northeast, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740431576 PECOS PAC ID: 0941363071 Enrollment ID: O20090115000124 |
Entity Name | Indiana Physician Management-jennings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861783326 PECOS PAC ID: 7911185509 Enrollment ID: O20110630000218 |
Entity Name | Indiana Physician Management - Mercy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225309073 PECOS PAC ID: 6800051319 Enrollment ID: O20120709000441 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
Mailing Address | Practice Location Address |
---|---|
Dr D Scott Moore, DO St Vincents Emergency Physicians Inc 4685 Reliable Pkwy, Chicago, IL 60686-0046 Ph: (317) 802-3140 | Dr D Scott Moore, DO 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 802-3140 |
Dr. Gina Marie Diantonio Swartzel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, B401, Indianapolis, IN 46202 Phone: 317-962-5975 | |
Randall M. Todd, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-5261 Fax: 317-528-5026 | |
Lee G. Wilbur, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Rm Ag001, Indianapolis, IN 46202 Phone: 317-962-3886 Fax: 317-962-8652 | |
Gregory Bauwens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-802-3140 | |
Dr. Jennifer Rae Barker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 Barnhill Dr, Riley Hospital, Indianapolis, IN 46202 Phone: 317-274-4034 | |
Heather Amos, RN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-0000 | |
Gerald William Godfrey, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 131-752-8814 |