Dr Erin Nicole Perez, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portage, Indiana. She went to Indiana University School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is
3292 E Bend Dr Apt 101, Portage, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 402-9123.
Dr Erin Nicole Perez is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1568104529.
Physician's Profile
| Full Name | Dr Erin Nicole Perez |
|---|
| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 4 Years |
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| Location | 3292 E Bend Dr Apt 101, Portage, Indiana |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Erin Nicole Perez attended and graduated from Indiana University School Of Medicine in 2022
NPI Data:
- NPI Number: 1568104529
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 10/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355841206
- Enrollment ID: I20250825001717
Medical Identifiers
Medical identifiers for Dr Erin Nicole Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568104529 | NPI | - | NPPES |
| 300118317 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 01096853A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Erin Nicole Perez 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 Erin Nicole Perez, MD
1100 Reid Pkwy, Payor Enrollment,
Richmond, IN 47374-1157
Ph: (765) 983-3392 | Dr Erin Nicole Perez, MD
3292 E Bend Dr Apt 101,
Portage, IN 46368-5042
Ph: (219) 402-9123 |
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