Kelli A Hertz, MD in Mooresville, IN - Medicare Obstetrics/gynecology

Kelli A Hertz, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Mooresville, Indiana. She went to Indiana University School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Community Medical Associates Inc and her current practice location is 1205 Hadley Rd Ste 120, Mooresville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 834-8960.

Kelli A Hertz is licensed to practice in Indiana (license number 01057454) 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 1538199591.

Contact Information

	Kelli A Hertz, MD
	1205 Hadley Rd Ste 120, Mooresville, IN 46158-1934
	(317) 834-8960
	(317) 834-8951

Map and Direction

Physician's Profile

Full Name	Kelli A Hertz
Gender	Female
Speciality	Obstetrics/gynecology
Experience	27 Years
Location	1205 Hadley Rd Ste 120, Mooresville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelli A Hertz attended and graduated from Indiana University School Of Medicine in 1999

NPI Data:

NPI Number: 1538199591
Provider Enumeration Date: 07/04/2006
Last Update Date: 01/16/2026

Medicare PECOS Information:

PECOS PAC ID: 6002931797
Enrollment ID: I20100917001081

Medical Identifiers

Medical identifiers for Kelli A Hertz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538199591	NPI	-	NPPES
200427150A	Medicaid	IN
64069651	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	01057454 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
King's Daughters' Health	Madison, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Medical Associates Inc	7012811284	1310

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. Kelli A Hertz allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452

Entity Name	Norton - Kings Daughters Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611

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. Kelli A Hertz 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
Kelli A Hertz, MD Po Box 781076, Detroit, MI 48278-1008 Ph: (317) 528-4800	Kelli A Hertz, MD 1205 Hadley Rd Ste 120, Mooresville, IN 46158-1934 Ph: (317) 834-8960

Reviews and Comments

Obstetrics & Gynecology Doctors in Mooresville, IN

Virginia Ann Takagi, MD 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
Dr. Thalia Raya Pachiyannakis, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1205 Hadley Rd Ste 120, Mooresville, IN 46158 Phone: 317-834-8950 Fax: 317-834-8951
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
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

Kelli A Hertz, MD - Medicare Obstetrics/gynecology in Mooresville, IN