Dr Kristen W Gollnick, MD in Fishers, IN

Dr Kristen W Gollnick, MD is a medicare enrolled "Pediatrics" physician in Fishers, Indiana. Her current practice location is 8890 E 116th St, Suite 260, Fishers, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 621-8953.

Dr Kristen W Gollnick is licensed to practice in Indiana (license number 01055066A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821089681.

Contact Information

	Dr Kristen W Gollnick, MD
	8890 E 116th St, Suite 260, Fishers, IN 46038-2856
	(317) 621-8953
	(317) 621-4456

Map and Direction

Physician's Profile

Full Name	Dr Kristen W Gollnick
Gender	Female
Speciality	Pediatrics
Location	8890 E 116th St, Fishers, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821089681
Provider Enumeration Date: 11/02/2005
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8224348289
Enrollment ID: I20151104001160

Medical Identifiers

Medical identifiers for Dr Kristen W Gollnick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821089681	NPI	-	NPPES
2649965001	Other	IN	CIGNA HEALTHCARE
7622421	Other	IN	AETNA HEALTH PLAN
201316010	Medicaid	IN
000000238184	Other	IN	ANTHEM HEALTH PLAN
P01588216	Other	IN	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01055066A (Indiana)	Primary

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 Kristen W Gollnick allows following entities to bill medicare on her behalf.

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

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 Kristen W Gollnick 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 Kristen W Gollnick, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () -	Dr Kristen W Gollnick, MD 8890 E 116th St, Suite 260, Fishers, IN 46038-2856 Ph: (317) 621-8953

Reviews and Comments

Pediatrics Doctors in Fishers, IN

Aaron Gunnar Shoemaker, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7199 Easy St, Fishers, IN 46038 Phone: 317-415-6110
Theresa C Treep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10017 Water Crest Drive, Fishers, IN 46038 Phone: 317-776-9214 Fax: 317-776-9219
Heather E Slaven, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9795 E 116th St, Fishers, IN 46037 Phone: 317-913-8100
Dr. Sean C Keller, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13100 E 136th St, Ste 1200, Fishers, IN 46037 Phone: 317-678-3100 Fax: 317-678-3108
Mitchell Alan Harris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13100 E 136th St Ste 1200, Fishers, IN 46037 Phone: 317-678-3100
Quinn Danielle Bensi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13121 Olio Rd Ste 340, Fishers, IN 46037 Phone: 317-621-7337 Fax: 317-621-7330
Dr. Debra L Moreland, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13100 E 136th St, Suite 1200, Fishers, IN 46037 Phone: 317-678-3100 Fax: 317-678-3108

Dr Kristen W Gollnick, MD - Medicare Pediatrics in Fishers, IN