Timothy Moran, MD - Medicare Emergency Medicine in Saint John, IN

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Timothy Moran, MD is a medicare enrolled "Emergency Medicine" physician in Saint John, Indiana. His current practice location is 9660 Wicker Ave, Saint John, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 365-1177.

Timothy Moran is licensed to practice in Indiana (license number 01100565A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457535759.

Contact Information

Timothy Moran, MD
9660 Wicker Ave,
Saint John, IN 46373-9487
(219) 365-1177
(219) 703-6662

Map and Direction




Physician's Profile

Full NameTimothy Moran
GenderMale
SpecialityEmergency Medicine
Location9660 Wicker Ave, Saint John, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457535759
  • Provider Enumeration Date: 12/21/2007
  • Last Update Date: 10/07/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9436148186
  • Enrollment ID: I20040508000310

Medical Identifiers

Medical identifiers for Timothy Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457535759NPI-NPPES
036076975MedicaidIL
4622394OtherBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01100565A (Indiana)Primary
207P00000XEmergency Medicine 036-076975 (Illinois)Secondary

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. Timothy Moran allows following entities to bill medicare on his behalf.
Entity NameCepamerica Illinois LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587

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. Timothy Moran 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 AddressPractice Location Address
Timothy Moran, MD
9660 Wicker Ave,
Saint John, IN 46373-9487

Ph: (219) 365-1177		Timothy Moran, MD
9660 Wicker Ave,
Saint John, IN 46373-9487

Ph: (219) 365-1177

Reviews and Comments


Emergency Medicine Doctors in Saint John, IN

Saaduddin Mohammed Siddiqui, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9660 Wicker Ave, Saint John, IN 46373
Phone: 219-365-1177    Fax: 219-703-6662
Nadim Hafez, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9660 Wicker Ave, Saint John, IN 46373
Phone: 219-365-1177    Fax: 219-703-6662
Brooke Mcdermott, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9660 Wicker Ave, Saint John, IN 46373
Phone: 219-365-1166    Fax: 219-365-8852
Dr. Irene Dmitruk, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9660 Wicker Ave, Saint John, IN 46373
Phone: 219-365-1177    Fax: 219-703-6662

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.