| Dr Eric S Moon, DO | |
|
5454 Hohman Ave, Hammond, IN 46320-1931 | |
| (219) 932-2300 | |
| Not Available |
| Full Name | Dr Eric S Moon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5454 Hohman Ave, Hammond, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942200027 | NPI | - | NPPES |
| 036107014-1 | Medicaid | IL | |
| 036107014 | Other | IL | BLUE SHIELD |
| 300013084 | Medicaid | IN | |
| 036-107014-4 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-107014 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 02005208A (Indiana) | Primary |
| Entity Name | Foundation For Emergency Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467468280 PECOS PAC ID: 4981504198 Enrollment ID: O20040113000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric S Moon, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Eric S Moon, DO 5454 Hohman Ave, Hammond, IN 46320-1931 Ph: (219) 932-2300 |
Cortney Sloan Palencia, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-932-2300 | |
Han Huang, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 | |
Eric T Cook, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 | |
John A Desalvo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 | |
Joseph W Knight, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 | |
Lisa Ting Toerne, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 | |
Prakash C Rattan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2077 Fax: 219-864-2649 |