Elena S Moore, MD in Evanston, IL - Medicare Obstetrics/gynecology

Elena S Moore, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Evanston, Illinois. She went to University Of Minnesota, Duluth School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 2650 Ridge Ave, Kellogg Cancer Center, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-2639.

Elena S Moore is licensed to practice in Illinois (license number 036132978) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730382839.

Contact Information

	Elena S Moore, MD
	2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201-1718
	(847) 570-2639
	Not Available

Map and Direction

Physician's Profile

Full Name	Elena S Moore
Gender	Female
Speciality	Obstetrics/gynecology
Experience	18 Years
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elena S Moore attended and graduated from University Of Minnesota, Duluth School Of Medicine in 2006

NPI Data:

NPI Number: 1730382839
Provider Enumeration Date: 06/06/2007
Last Update Date: 02/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2466576913
Enrollment ID: I20131008000939

Medical Identifiers

Medical identifiers for Elena S Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730382839	NPI	-	NPPES
BP1-0026448	Other		INSTITUTIONAL PERMIT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VX0201X	Obstetrics & Gynecology - Gynecologic Oncology	036132978 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish Covenant Hospital	Chicago, IL	Hospital
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Elena S Moore allows following entities to bill medicare on her behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Elena S 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 Address	Practice Location Address
Elena S Moore, MD 2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201-1718 Ph: (847) 570-2639	Elena S Moore, MD 2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201-1718 Ph: (847) 570-2639

Reviews and Comments

Obstetrics & Gynecology Doctors in Evanston, IL

Anne Peiffer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-3624
Dr. Mary Tilley Jenkins Vogel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201 Phone: 847-570-2639 Fax: 847-570-1041
Nandini Datta, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1223, Evanston, IL 60201 Phone: 847-982-5869 Fax: 312-666-6228
Cherrell Lanae Triplett, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 1507, Evanston, IL 60201 Phone: 847-570-2222 Fax: 847-570-1846
Dr. Ghazaleh Rostami Nia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Avenue Walgreen Building, Suite 1507, Evanston, IL 60201 Phone: 847-434-9728
Jennifer J Kim, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 Central St Ste 717, Evanston, IL 60201 Phone: 847-864-1200
Henry Chill, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2520

Elena S Moore, MD - Medicare Obstetrics/gynecology in Evanston, IL