| Michael Moran, | |
|
3920 St Francis Way Ste 105, Lafayette, IN 47905-4917 | |
| (765) 502-4000 | |
| (765) 502-4709 |
| Full Name | Michael Moran |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 43 Years |
| Location | 3920 St Francis Way Ste 105, Lafayette, 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 |
|---|---|---|---|
| 1912957473 | NPI | - | NPPES |
| NC3296 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 2017-02511 (North Carolina) | Secondary |
| 208800000X | Urology | 01098059A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union Hospital Inc | Terre haute, IN | Hospital |
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Union Associated Physicians Clinic, Llc | 3375687437 | 230 |
| Franciscan Physician Network | 3072790682 | 1152 |
| Entity Name | Union Associated Physicians Clinic, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| 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 |
|---|---|
| Michael Moran, Po Box 781076, Detroit, MI 48278-1008 Ph: (317) 528-4800 | Michael Moran, 3920 St Francis Way Ste 105, Lafayette, IN 47905-4917 Ph: (765) 502-4000 |
Nicholas Nasry Tadros, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3920 St Francis Way Ste 105, Lafayette, IN 47905 Phone: 765-428-1660 Fax: 765-428-1627 |
Samuel Chan Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 |
Timothy James Redden, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |
John David Reisman, MD Urology Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7619 |
Dr. Shaheen R Alanee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 |
Daniel B Abbott, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |
Michael K Louie, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 |