Joseph C Moody, MD | |
2600 Greenbush St, Lafayette, IN 47904-2477 | |
(765) 448-8000 | |
Not Available |
Full Name | Joseph C Moody |
---|---|
Gender | Male |
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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992813356 | NPI | - | NPPES |
000000586076 | Other | IN | ANTHEM PROVIDER NUMBER |
200295790 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01052363 (Indiana) | Primary |
Entity Name | Lafayette Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891741641 PECOS PAC ID: 9931172863 Enrollment ID: O20040818000317 |
Mailing Address | Practice Location Address |
---|---|
Joseph C Moody, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Joseph C Moody, MD 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000 |
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 |