Nicole Suzette Perry, MD - Medicare Obstetrics/gynecology in Mooresville, IN

Nicole Suzette Perry, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Mooresville, Indiana. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1989 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Community Physicians Of Indiana Inc and her current practice location is 100 Town Center Rd S, Ste B, Mooresville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 497-2300.

Nicole Suzette Perry is licensed to practice in Indiana (license number 01040509A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801899901.

Contact Information

Nicole Suzette Perry, MD
100 Town Center Rd S, Ste B,
Mooresville, IN 46158-2321
(317) 497-2300
(317) 497-2502



Physician's Profile

Full NameNicole Suzette Perry
GenderFemale
SpecialityObstetrics/gynecology
Experience35 Years
Location100 Town Center Rd S, Mooresville, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Suzette Perry attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1989
  NPI Data:
  • NPI Number: 1801899901
  • Provider Enumeration Date: 05/23/2005
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183537871
  • Enrollment ID: I20031110000133

Medical Identifiers

Medical identifiers for Nicole Suzette Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801899901NPI-NPPES
000000283023OtherINANTHEM PROVIDER NUMBER
200130700MedicaidIN
P01018478OtherINRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 01040509A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Hospital EastIndianapolis, INHospital
Community Hospital South, Inc.Indianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Physicians Of Indiana Inc17594166621319

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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. Nicole Suzette Perry allows following entities to bill medicare on her behalf.
Entity NameCommunity Physicians Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717

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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. Nicole Suzette Perry 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
Nicole Suzette Perry, MD
6626 E 75th St Ste 500,
Indianapolis, IN 46250-2890

Ph: () -
Nicole Suzette Perry, MD
100 Town Center Rd S, Ste B,
Mooresville, IN 46158-2321

Ph: (317) 497-2300

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Obstetrics & Gynecology Doctors in Mooresville, IN

Dr. Virginia Ann Dangerfield Takagi, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Hadley Rd, Mooresville, IN 46158
Phone: 317-584-3454    Fax: 317-584-3435
Glenn Lee Dobbs, D.O.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1205 Hadley Rd, Mooresville, IN 46158
Phone: 317-584-3454    Fax: 317-584-3435
James Patrick Perry, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Town Center Rd S, Suite B, Mooresville, IN 46158
Phone: 317-497-2300    Fax: 317-497-2502
Michael Lenwood Boothe, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Hadley Rd, Mooresville, IN 46158
Phone: 317-584-3454    Fax: 317-584-3435
Brittany E Johnson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Hadley Rd, Mooresville, IN 46158
Phone: 317-584-3454    Fax: 317-584-3435
G. Alan Von Stein, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1205 Hadley Rd, Mooresville, IN 46158
Phone: 317-831-9469    Fax: 317-834-5928
Jamie L Cooper, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Hadley Rd, Mooresville, IN 46158
Phone: 317-584-3454    Fax: 317-584-3435

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