Janice Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Goshen, IN

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Janice Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Goshen, Indiana. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southeast Anesthesiologists, Inc. and her current practice location is 200 High Park Ave, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 340-8384.

Janice Moore is licensed to practice in Illinois (license number 209012796) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114271327.

Contact Information

Janice Moore, CRNA
200 High Park Ave,
Goshen, IN 46526-4810
(317) 340-8384
Not Available

Map and Direction




Provider's Profile

Full NameJanice Moore
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location200 High Park Ave, Goshen, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Janice Moore attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2014
  NPI Data:
  • NPI Number: 1114271327
  • Provider Enumeration Date: 11/09/2012
  • Last Update Date: 07/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921308768
  • Enrollment ID: I20200508002361

Medical Identifiers

Medical identifiers for Janice Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114271327NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28147329A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 209012796 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Goshen HospitalGoshen, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Anesthesiologists, Inc.680083798091

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. Janice Moore allows following entities to bill medicare on her behalf.
Entity NameSoutheast Anesthesiologists, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210685
PECOS PAC ID: 6800837980
Enrollment ID: O20050518001265

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. Janice 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 AddressPractice Location Address
Janice Moore, CRNA
450 E 96th St Ste 200,
Indianapolis, IN 46240-3797

Ph: () -		Janice Moore, CRNA
200 High Park Ave,
Goshen, IN 46526-4810

Ph: (317) 340-8384

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Goshen, IN

Derek S Poulson, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 57809 Hillside Dr, Goshen, IN 46528
Phone: 801-623-7813    
Brett Dyer, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 20208 Deer Path Ct., Goshen, IN 46528
Phone: 801-864-0218    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.