Kenneth Adam Moore, MD | |
355 W 16th St Ste 5100, Indianapolis, IN 46202-2274 | |
(317) 963-1300 | |
(317) 222-2012 |
Full Name | Kenneth Adam Moore |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 10 Years |
Location | 355 W 16th St Ste 5100, Indianapolis, Indiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013304054 | NPI | - | NPPES |
Q043273 | Medicaid | TN | |
300077297 | Medicaid | IN | |
068010906 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 65489 (Tennessee) | Secondary |
207T00000X | Neurological Surgery | 01090436A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Family Physicians, Inc. | 7911992797 | 424 |
Entity Name | University Family Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Adam Moore, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Kenneth Adam Moore, MD 355 W 16th St Ste 5100, Indianapolis, IN 46202-2274 Ph: (317) 963-1300 |
Dr. Gordon Guanxiong Mao, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 W. 16th Street, Goodman Hall Suite 5100, Indianapolis, IN 46202 Phone: 317-963-1300 | |
Ajay Patel, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 355 W 16th St Ste 5100, Indianapolis, IN 46202 Phone: 317-396-1234 | |
James Christopher Miller, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 W 16th St, Suite 5100, Indianapolis, IN 46202 Phone: 317-396-1300 Fax: 317-924-8472 | |
Dr. Michael B Pritz, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1801 N Senate Blvd, Suite 535, Indianapolis, IN 46202 Phone: 317-396-1300 Fax: 317-396-1346 | |
Monica C Wehby, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 8402 Harcourt Rd Ste 830, Indianapolis, IN 46260 Phone: 317-396-1300 Fax: 317-352-3408 | |
David A Purger, MD, PHD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-1300 Fax: 317-222-2012 |