Dr Nicholas Stephen Iannazzo, DO in Indianapolis, IN

Dr Nicholas Stephen Iannazzo, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Indianapolis, Indiana. His current practice location is 1701 N Senate Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 962-5820.

Dr Nicholas Stephen Iannazzo is licensed to practice in Indiana (license number 02005669A) 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 1043669633.

Contact Information

	Dr Nicholas Stephen Iannazzo, DO
	1701 N Senate Blvd, Indianapolis, IN 46202-1239
	(317) 962-5820
	(317) 962-3916

Map and Direction

Physician's Profile

Full Name	Dr Nicholas Stephen Iannazzo
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	1701 N Senate Blvd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043669633
Provider Enumeration Date: 06/06/2016
Last Update Date: 09/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8426349283
Enrollment ID: I20190626000433

Medical Identifiers

Medical identifiers for Dr Nicholas Stephen Iannazzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043669633	NPI	-	NPPES
267030314	Other	IN	MEDICARE PTAN
300026216	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	02005669A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	11018796A (Indiana)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	02005669A (Indiana)	Primary
207R00000X	Internal Medicine	02005669A (Indiana)	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. Dr Nicholas Stephen Iannazzo allows following entities to bill medicare on his behalf.

Entity Name	Indiana Clinic Critical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417285230 PECOS PAC ID: 3678600988 Enrollment ID: O20100419000408

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. Dr Nicholas Stephen Iannazzo 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 Address	Practice Location Address
Dr Nicholas Stephen Iannazzo, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Dr Nicholas Stephen Iannazzo, DO 1701 N Senate Blvd, Indianapolis, IN 46202-1239 Ph: (317) 962-5820

Reviews and Comments

Internal Medicine Doctors in Indianapolis, IN

Irene A Carrothers, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285
Liam P Howley, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560
Cristina Nancy Perez Chumbiauca, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000
Dr. Andrew Jonathen Ortega, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427
Lawrence John Born, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328
Brian T Robinson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668
Steven T Hugenberg, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660

Dr Nicholas Stephen Iannazzo, DO - Medicare Internal Medicine in Indianapolis, IN