Dr David John Moran, MD | |
5104 N Clinton St, Fort Wayne, IN 46825-5720 | |
(260) 422-2481 | |
(260) 969-3067 |
Full Name | Dr David John Moran |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 5104 N Clinton St, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679688295 | NPI | - | NPPES |
P00698427 | Other | IN | MEDICARE RR |
200150750 | Medicaid | IN | |
000000595587 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01044168A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Dupont Hospital Llc | Fort wayne, IN | Hospital |
Dekalb Health | Auburn, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Credo Health Group Llc | 2769775782 | 5 |
Entity Name | Credo Health Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407203672 PECOS PAC ID: 2769775782 Enrollment ID: O20160727002360 |
Mailing Address | Practice Location Address |
---|---|
Dr David John Moran, MD 1900 Carew St, Suite 1, Fort Wayne, IN 46805-4765 Ph: (260) 373-9728 | Dr David John Moran, MD 5104 N Clinton St, Fort Wayne, IN 46825-5720 Ph: (260) 422-2481 |
Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475 | |
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601 | |
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941 | |
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 | |
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 | |
Samantha Dawn Warden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-423-2675 Fax: 260-423-6621 | |
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065 |