| Brian G Moore, MD | |
|
900 I St Fl 2, La Porte, IN 46350-5533 | |
| (219) 575-6060 | |
| (219) 575-6004 |
| Full Name | Brian G Moore |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 900 I St Fl 2, La Porte, 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 |
|---|---|---|---|
| 1205942075 | NPI | - | NPPES |
| 200086240A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01040502A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian G Moore, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Brian G Moore, MD 900 I St Fl 2, La Porte, IN 46350-5533 Ph: (219) 575-6060 |
Christopher Adam Conn, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 600 Legacy Plz W, La Porte, IN 46350 Phone: 219-379-3166 Fax: 219-324-9730 | |
Jaron Lee Pettis, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1331 State St Ste 340, La Porte, IN 46350 Phone: 219-379-3166 | |
Dr. Dorene Kay Zerfas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350 Phone: 219-362-8523 Fax: 219-324-9396 | |
Dr. Steven William Chmil, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350 Phone: 219-362-8523 Fax: 219-324-9396 | |
Dr. David Samuel Mendelowitz, MD Surgery Medicare: Medicare Enrolled Practice Location: 1300 State Street, Suite 2c, La Porte, IN 46350 Phone: 219-325-0152 Fax: 219-325-8621 | |
James T Cornwell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 I St, La Porte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602 |