Hubert Fornalik, MD in Indianapolis, IN - Medicare Gynecological Oncology

Hubert Fornalik, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Indianapolis, Indiana. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Gynecological Oncology. He is a member of the group practice Community Care Network Inc, Northwest Cancer Centers Pc, The Methodist Hospitals Inc and his current practice location is 8111 S Emerson Ave Ste 204, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 528-2555.

Hubert Fornalik is licensed to practice in Indiana (license number 01067752A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255549812.

Contact Information

	Hubert Fornalik, MD
	8111 S Emerson Ave Ste 204, Indianapolis, IN 46237-8601
	(317) 528-2555
	(317) 528-2566

Map and Direction

Physician's Profile

Full Name	Hubert Fornalik
Gender	Male
Speciality	Gynecological Oncology
Experience	25 Years
Location	8111 S Emerson Ave Ste 204, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hubert Fornalik graduated from medical school in 2000

NPI Data:

NPI Number: 1255549812
Provider Enumeration Date: 05/18/2007
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 8224119128
Enrollment ID: I20100730000661

Medical Identifiers

Medical identifiers for Hubert Fornalik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255549812	NPI	-	NPPES
200978000	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	37108 (Iowa)	Secondary
207V00000X	Obstetrics & Gynecology	01067752A (Indiana)	Secondary
207V00000X	Obstetrics & Gynecology	MT181806 (Pennsylvania)	Secondary
207VX0201X	Obstetrics & Gynecology - Gynecologic Oncology	01067752A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Hospital	Munster, IN	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
St Mary Medical Center Inc	Hobart, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Care Network Inc	3678737012	355
Northwest Cancer Centers Pc	4587553474	23
The Methodist Hospitals Inc	9638063894	105

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. Hubert Fornalik allows following entities to bill medicare on his behalf.

Entity Name	The Methodist Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124283858 PECOS PAC ID: 9638063894 Enrollment ID: O20040303000549

Entity Name	Northwest Cancer Centers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578527826 PECOS PAC ID: 4587553474 Enrollment ID: O20040310001213

Entity Name	Lutheran Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705

Entity Name	Community Care Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331

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. Hubert Fornalik 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
Hubert Fornalik, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Hubert Fornalik, MD 8111 S Emerson Ave Ste 204, Indianapolis, IN 46237-8601 Ph: (317) 528-2555

Reviews and Comments

Obstetrics & Gynecology Doctors in Indianapolis, IN

Dr. Brenna Espelien, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-2018
Dr. Elizabeth Ann Wehlage, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8111 Township Line Rd, Indianapolis, IN 46260 Phone: 317-415-7528 Fax: 317-415-7529
Jonathan Baker Lupton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 Phone: 317-865-3600 Fax: 317-885-3850
Lillie-mae Padilla, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd, Uh 2440, Indianapolis, IN 46202 Phone: 317-274-1661 Fax: 317-278-9918
James H Brillhart, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8040 Clearvista Pkwy, Suite 520, Indianapolis, IN 46256 Phone: 317-621-2400 Fax: 317-621-5266
Alan M Golichowski, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8091 Township Line Rd Ste 108, Indianapolis, IN 46260 Phone: 317-415-8100
Jon K Hathaway, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-1661 Fax: 317-278-9918

Hubert Fornalik, MD - Medicare Gynecological Oncology in Indianapolis, IN