Our Location and Forms

The Excellent Service You Deserve at DermacenterMD

DermacenterMD has highly motivated business professionals to provide you with excellent service. The team at DermacenterMD will help you with insurance, scheduling and the financial aspect of your care.  Appointments are typically made during phone service hours listed below, however some appointment times will be outside of the hours listed below. 

Dr. Roger Moore performs surgeries daily and makes time available for cosmetics on a daily basis. You may contact our office at 574-522-0265.

New Patient Forms 

The office of DermacenterMD provides a unique and warm atmosphere for your cosmetic and medical visits. You will find a client lounge complete with a pleasant ambience including a relaxing sofa so you may relax  before your visit. The comfortable setting reduces anxiety for our clients at the visit and during procedures.  In addition we utilize state of the art equipment including the latest cosmetic and laser technology. Our Mohs laboratory maintains a high level CLIA certification.

Financial Information
Our office works diligently to provide efficient interaction with in network insurance companies.  The rapid changing nature of many insurance companies and plans make it so that we encourage you to contact you insurance company before your appointment to determine the level of benefits and coverage you will have before coming in.     Copays and balances are due before being seen.   For cosmetic services  or self pay clients charges are payable at the time of treatment.  

We accept Discover, Visa and MasterCard for medical and for cosmetic procedures.

If special arrangements are needed, please talk to our office manager prior to receiving service.

Insurance
We will submit all claims for “in network” insurers.  We will fully attempt to help you receive full insurance benefits; however, you are personally responsible for your account, and we encourage you to contact us if your policy has not paid within 30 days. 

Appointments
 No referral is necessary for an appointment at DermacenterMD.   You may call and make your own appointment without your doctor referring you here.  If your insurance requires a referral authorization you will be responsible for obtaining this prior to your visit.

Dr. Moore is a trusted skin expert for many doctors in the area.  More than one hundred area physicians actively refer patients to Dr. Moore for his highly trained opinion.  If your physician has referred you to us you are in excellent hands and we will do our best to coordinate our care as deemed necessary.   

Schedule your consultation with a Board Certified Dermatologist, Roger Moore, MD at DermacenterMD, today!

Dr. Roger Moore and his staff are honored to care for you and believe we can help you have the healthy, beautiful skin you want. Our team looks forward to caring for you.

Directions to our Elkhart office:

From 20 bypass, take Nappanee exit, north; located on the west

From old 20 (McKinley Ave.), turn north on Nappanee Street

From Toll road, follow Cassopolis south and turn south on Nappanee

Dermacentermd Elkhart - 111 North Nappanee Street , Elkhart, IN, 46514 - 574-522-0265

NOTICE OF PRIVACY PRACTICES

DERMACENTERMD

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED

AND HOW YOU CAN GET ACCESS TO THIS INFORMATION

PLEASE READ IT CAREFULLY

The Health Insurance Portability & Accountability Act of 1996 ("HIPAA") is a Federal program that requests that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally are kept properly confidential. This Act gives you, the patient, the right to understand and control how your protected health information ("PHI") is used. HIPAA provides penalties for covered entities that misuse personal health information.

As required by HIPAA, we prepared this explanation of how we are to maintain the privacy of your health information and how we may disclose your personal information.

We may use and disclose your medical records only for each of the following purposes: treatment, payment and health care operation.

• Treatment means providing, coordinating, or managing health care and related services by one or more healthcare providers. An example of this is a primary care doctor referring you to a specialist doctor.

• Payment means such activities as obtaining reimbursement for services, confirming coverage, billing or collections activities, and utilization review. An example of this would include sending your insurance company a bill for your visit and/or verifying coverage prior to a surgery.

• Health Care Operations include business aspects of running our practice, such as conducting quality assessments and improving activities, auditing functions, cost management analysis, and customer service. An example of this would be new patient survey cards.

• The practice may also be required or permitted to disclose your PHI for law enforcement and other legitimate reasons. In all situations, we shall do our best to assure its continued confidentiality to the extent possible.

We may also create and distribute de-identified health information by removing all reference to individually identifiable information.

We may contact you, by phone or in writing, to provide appointment reminders or information about treatment alternatives or other health-related benefits and services, in addition to other fundraising communications, that may be of interest to you. You do have the right to "opt out" with respect to receiving fundraising communications from us.

The following use and disclosures of PHI will only be made pursuant to us receiving a written authorization from you:

1. Most uses and disclosure of psychotherapy notes;

1. Uses and disclosure of your PHI for marketing purposes, including subsidized treatment and health care operations;

1. Disclosures that constitute a sale of PHI under HIPAA; and  

1. Other uses and disclosures not described in this notice

You may revoke such authorization in writing and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your prior authorization.

You may have the following rights with respect to your PHI:

• The right to request restrictions on certain uses and disclosures of PHI, including those related to disclosures of family members, other relatives, close personal friends, or any other person identified by you. We are, however, not required to honor a request restriction except in limited circumstances which we shall explain if you ask. If we do agree to the restriction, we must abide by it unless you agree in writing to remove it.

• The right to reasonable requests to receive confidential communications of Protected Health Information by alternative means or at alternative locations.

• The right to inspect and copy your PHI.

• The right to amend your PHI.

• The right to receive an accounting of disclosures of your PHI.

• The right to obtain a paper copy of this notice from us upon request.

• The right to be advised if your unprotected PHI is intentionally or unintentionally disclosed.

If you have paid for services "out of pocket", in full and in advance, and you request that we not disclose PHI related solely to those services to a health plan, we will accommodate your request, except where we are required by law to make a disclosure.

We are required by law to maintain the privacy of your PHI and to provide you the notice of our legal duties and our privacy practice with respect to PHI.

This notice if effective as of September 22, 2013 and it is our intention to abide by the terms of the Notice of Privacy Practices and HIPAA Regulations currently in effect. We reserve the right to change the terms of our Notice of Privacy Practice and to make the new notice provision effective for all PHI that we maintain. We will post a copy and you may request a written copy of the revised Notice of Privacy Practice from our office.

You have recourse if you feel that your protections have been violated by our office. You have the right to file a formal, written complaint with the practice and with the Department of Health and Human Services, Office of Civil Rights. We will not retaliate against you for filing a complaint.

Feel free to contact the Practice Compliance Office for more information, in person or in writing. 

DermacenterMD 111 North Nappanee Street Elkhart, IN 46514.   Phone (574)522-0265. 

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