Wayne E Moore, MD is a medicare enrolled "Surgery" physician in Laporte, Indiana. His current practice location is
901 Lincolnway, Ste 304, Laporte, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 362-8523.
Wayne E Moore is licensed to practice in Indiana (license number IN01038003A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003824004.
Physician's Profile
Full Name | Wayne E Moore |
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Gender | Male |
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Speciality | Surgery |
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Location | 901 Lincolnway, Laporte, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003824004
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082778436
- Enrollment ID: I20100915000884
Medical Identifiers
Medical identifiers for Wayne E Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003824004 | NPI | - | NPPES |
01038003 | Other | | LICENSE NUMBER |
100367770A | Medicaid | IN | |
01038003B | Other | IN | CSR |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | IN01038003A (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. Wayne E Moore allows following entities to bill medicare on his behalf.
Entity Name | Indiana University Health La Porte Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760593776 PECOS PAC ID: 0345147963 Enrollment ID: O20031212000670 |
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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. Wayne E 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 |
Wayne E Moore, MD P.o. Box 1690, Laporte, IN 46352-1690 Ph: (219) 326-2312 | Wayne E Moore, MD 901 Lincolnway, Ste 304, Laporte, IN 46350 Ph: (219) 362-8523 |
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