Dr Eric T Moore, MD - Medicare Emergency Medicine in Summit, WI

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Dr Eric T Moore, MD is a medicare enrolled "Emergency Medicine" physician in Summit, Wisconsin. His current practice location is 36500 Aurora Dr, Summit, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 434-1000.

Dr Eric T Moore is licensed to practice in Wisconsin (license number 60232) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417156142.

Contact Information

Dr Eric T Moore, MD
36500 Aurora Dr,
Summit, WI 53066-4899
(262) 434-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Eric T Moore
GenderMale
SpecialityEmergency Medicine
Location36500 Aurora Dr, Summit, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417156142
  • Provider Enumeration Date: 07/12/2007
  • Last Update Date: 09/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638210339
  • Enrollment ID: I20130808000119

Medical Identifiers

Medical identifiers for Dr Eric T Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417156142NPI-NPPES
100030839MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 018291 (Maine)Secondary
207P00000XEmergency Medicine 60232 (Wisconsin)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 Eric T Moore allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameMoundview Memorial Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710939533
PECOS PAC ID: 1355250432
Enrollment ID: O20031121000846
Entity NameLafayette County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114987054
PECOS PAC ID: 9436054772
Enrollment ID: O20031201000476
Entity NameMile Bluff Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609912005
PECOS PAC ID: 8527971399
Enrollment ID: O20031205000618
Entity NameReedsburg Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891796710
PECOS PAC ID: 9830008259
Enrollment ID: O20031208000083
Entity NameMemorial Hospital Of Boscobel
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760459846
PECOS PAC ID: 8325957673
Enrollment ID: O20040115000725
Entity NamePrairie Ridge Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154403657
PECOS PAC ID: 6800791484
Enrollment ID: O20040210000777
Entity NameSt Joseph's Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104031798
PECOS PAC ID: 3971586439
Enrollment ID: O20040615000273
Entity NameTri-county Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124063573
PECOS PAC ID: 4587642418
Enrollment ID: O20040708000696
Entity NameMadison Emergency Physicians Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588646095
PECOS PAC ID: 4587631858
Enrollment ID: O20040915000748
Entity NameLafayette County
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1114987054
PECOS PAC ID: 9436054772
Enrollment ID: O20061104000561
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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 Eric T Moore 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 AddressPractice Location Address
Dr Eric T Moore, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (820) 032-6225		Dr Eric T Moore, MD
36500 Aurora Dr,
Summit, WI 53066-4899

Ph: (262) 434-1000

Reviews and Comments


Emergency Medicine Doctors in Summit, WI

Dr. Brett Mclachlan, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    
Jeffrey A Smith, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    
Benjamin P Hermanson, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    Fax: 262-434-5050
Krishna R Prasad, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1900    Fax: 262-434-1901
Christopher George, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    
Michael P Kefer, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.