| Dr Jared L Moon, DPM | |
|
10607 Randolph St, Crown Point, IN 46307-7504 | |
| (262) 366-7994 | |
| Not Available |
| Full Name | Dr Jared L Moon |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 16 Years |
| Location | 10607 Randolph St, Crown Point, 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 |
|---|---|---|---|
| 1649546284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD001156 (Georgia) | Secondary |
| 213E00000X | Podiatrist | 99053018A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Health Of St Mary Medical Center | Hobart, IN | Home health agency |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Network Inc | 3678737012 | 355 |
| Rci (wrs), Llc. | 5092624510 | 362 |
| Provider Name | Community Care Network Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jared L Moon, DPM 10607 Randolph St, Crown Point, IN 46307-7504 Ph: (262) 366-7994 | Dr Jared L Moon, DPM 10607 Randolph St, Crown Point, IN 46307-7504 Ph: (262) 366-7994 |
Dr. Edward F. King, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9330 Broadway, Crown Point, IN 46307 Phone: 219-662-5065 | |
Dr. Michael Nirenberg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 50 W 94th Pl, Crown Point, IN 46307 Phone: 219-663-2273 Fax: 219-662-7290 | |
Friendly Foot Care, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 50 W 94th Pl, Crown Point, IN 46307 Phone: 219-663-2273 Fax: 219-662-7290 | |
Dennis W Smith, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1275 E North St, Crown Point, IN 46307 Phone: 219-663-9446 Fax: 219-663-9450 | |
Bruce J Brincko, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 1275 E North St, Crown Point, IN 46307 Phone: 219-663-9446 Fax: 219-663-9450 | |
Dr. Larry J. Wapiennik, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11406 Broadway, Crown Point, IN 46307 Phone: 219-663-7737 Fax: 219-663-7733 | |
Northshore Health Centers, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1275 E North St Ste 102, Crown Point, IN 46307 Phone: 219-763-8112 Fax: 219-764-5380 |