Matthew T Moore, MD | |
2001 W 86th St, Indianapolis, IN 46260-1902 | |
(866) 282-7905 | |
(800) 731-0751 |
Full Name | Matthew T Moore |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 22 Years |
Location | 2001 W 86th St, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497796627 | NPI | - | NPPES |
200820310 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01061758 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Anesthesia Services, Llc | 7719891027 | 83 |
Entity Name | Northside Anesthesia Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568444693 PECOS PAC ID: 7719891027 Enrollment ID: O20031119000284 |
Mailing Address | Practice Location Address |
---|---|
Matthew T Moore, MD Po Box 7232, Dept 165, Indianapolis, IN 46207-7232 Ph: (317) 614-9817 | Matthew T Moore, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (866) 282-7905 |
Thomas M Donahue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-9503 | |
John Thomas Gripe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 | |
Karen L. Bumb, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-567-2180 Fax: 317-567-2191 | |
Christian N Beaton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Erin S Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Jane Gunsenhouser, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-567-2180 Fax: 317-567-2191 | |
Makoto Kataoka, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 |