Elizabeth Guequierre Moberly, MD in Lafayette, IN

Elizabeth Guequierre Moberly, MD is a medicare enrolled "Emergency Medicine" physician in Lafayette, Indiana. Her current practice location is 2600 Greenbush St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 448-8000.

Elizabeth Guequierre Moberly is licensed to practice in Indiana (license number 01062494A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922299064.

Contact Information

	Elizabeth Guequierre Moberly, MD
	2600 Greenbush St, Lafayette, IN 47904-2477
	(765) 448-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Elizabeth Guequierre Moberly
Gender	Female
Speciality	Emergency Medicine
Location	2600 Greenbush St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922299064
Provider Enumeration Date: 08/05/2007
Last Update Date: 04/20/2009

Medicare PECOS Information:

PECOS PAC ID: 0345313060
Enrollment ID: I20220901000998

Medical Identifiers

Medical identifiers for Elizabeth Guequierre Moberly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922299064	NPI	-	NPPES
000000586468	Other	IN	ANTHEM PROVIDER NUMBER
200902950	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01062494A (Indiana)	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. Elizabeth Guequierre Moberly allows following entities to bill medicare on her behalf.

Entity Name	Middle Tennessee Emergency Physicians, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194758979 PECOS PAC ID: 3678464526 Enrollment ID: O20040322001049

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. Elizabeth Guequierre Moberly 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
Elizabeth Guequierre Moberly, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000	Elizabeth Guequierre Moberly, MD 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000

Reviews and Comments

Emergency Medicine Doctors in Lafayette, IN

Andrew Anthony Alaimo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4683
Lance Randell Seagren, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Samir H Shah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4709
Dr. Harsha V Musunuru, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 317-838-4751
Dr. Nirav L Chheda, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
Steven F Lane, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Dr. Daniel Joseph Marino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 800-654-9410

Elizabeth Guequierre Moberly, MD - Medicare Emergency Medicine in Lafayette, IN