Mr Jeffery W Moore, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tipton, IN

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Mr Jeffery W Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tipton, Indiana. His current practice location is 1000 S Main St, Tipton, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 675-8521.

Mr Jeffery W Moore is licensed to practice in Indiana (license number 28087122A) 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 1801870480.

Contact Information

Mr Jeffery W Moore, CRNA
1000 S Main St,
Tipton, IN 46072-9753
(765) 675-8521
(765) 675-8520

Map and Direction




Provider's Profile

Full NameMr Jeffery W Moore
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1000 S Main St, Tipton, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801870480
  • Provider Enumeration Date: 12/06/2005
  • Last Update Date: 10/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7113084609
  • Enrollment ID: I20090327000375

Medical Identifiers

Medical identifiers for Mr Jeffery W Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801870480NPI-NPPES
200345230AMedicaidIN
200345230MedicaidIN
000000603596OtherINANTHEM - TIPTON HOSPITAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 28087122 (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 28087122A (Indiana)Primary

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. Mr Jeffery W 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
Mr Jeffery W Moore, CRNA
1000 S Main St,
Tipton, IN 46072-9753

Ph: (765) 675-8521		Mr Jeffery W Moore, CRNA
1000 S Main St,
Tipton, IN 46072-9753

Ph: (765) 675-8521

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tipton, IN


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.