| Dr Benjamin Jon Moreno, MD, PHD | |
| 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845-1702 | |
| (260) 469-6602 | |
| (260) 484-5919 | 
| Full Name | Dr Benjamin Jon Moreno | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 3707 New Vision Dr Ste 110, Fort Wayne, 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 | 
|---|---|---|---|
| 1013163526 | NPI | - | NPPES | 
| 201028590 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 01070072 (Indiana) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 01070072 (Indiana) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Benjamin Jon Moreno, MD, PHD 3707 New Vision Dr, Fort Wayne, IN 46845-1702 Ph: (260) 469-6602 | Dr Benjamin Jon Moreno, MD, PHD 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845-1702 Ph: (260) 469-6602 | 
| Dr. Andre Byard Stovall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 | |
| Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290 | |
| Dr. Gregg R Mattison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895 Phone: 260-471-9466 Fax: 260-484-5919 | |
| Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919 | |
| Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969 | |
| Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 |