Roger T Moore, MD in Elkhart, IN - Medicare Dermatology

Roger T Moore, MD is a medicare enrolled "Dermatology" physician in Elkhart, Indiana. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology And Skin Surgery Center and his current practice location is 111 N Nappanee St, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 522-0265.

Roger T Moore is licensed to practice in Indiana (license number 01058554A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366408080.

Contact Information

	Roger T Moore, MD
	111 N Nappanee St, Elkhart, IN 46514-1957
	(574) 522-0265
	(574) 293-2855

Map and Direction

Physician's Profile

Full Name	Roger T Moore
Gender	Male
Speciality	Dermatology
Experience	25 Years
Location	111 N Nappanee St, Elkhart, 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.

Medical Education and Training:

Roger T Moore attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1999

NPI Data:

NPI Number: 1366408080
Provider Enumeration Date: 04/21/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9133108418
Enrollment ID: I20040726001416

Medical Identifiers

Medical identifiers for Roger T Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366408080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01058554A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatology And Skin Surgery Center	2668467838	23

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Roger T Moore allows following entities to bill medicare on his behalf.

Entity Name	Dermatology & Skin Surgery Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083649628 PECOS PAC ID: 2668467838 Enrollment ID: O20170310001705

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. Roger T 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 Address	Practice Location Address
Roger T Moore, MD 111 N Nappanee Street, Elkhart, IN 46514 Ph: (574) 522-0265	Roger T Moore, MD 111 N Nappanee St, Elkhart, IN 46514-1957 Ph: (574) 522-0265

Roger T Moore, MD - Medicare Dermatology in Elkhart, IN