Wayne E Moore, MD is a
Surgery physician based in Laporte, Indiana. Wayne E Moore is licensed to practice in Indiana (license number IN01038003A) and his current practice location is 901 Lincolnway, Ste 304, Laporte, Indiana. He can be reached at his office (for appointments etc.) via phone at
(219) 362-8523.
NPI number for Wayne E Moore is 1003824004 and his current mailing address is P.o. Box 1690, Laporte, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003824004.
Physician's Profile
Full Name | Wayne E Moore |
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Gender | Male |
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Speciality | Surgery |
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Location | 901 Lincolnway, Laporte, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003824004
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Wayne E Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003824004 | NPI | - | NPPES |
01038003 | Other | | LICENSE NUMBER |
100367770A | Medicaid | IN | |
01038003B | Other | IN | CSR |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | IN01038003A (Indiana) | Primary |
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. Wayne E Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wayne E Moore, MD P.o. Box 1690, Laporte, IN 46352-1690 Ph: (219) 326-2312 | Wayne E Moore, MD 901 Lincolnway, Ste 304, Laporte, IN 46350 Ph: (219) 362-8523 |
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