Leticia Nicolle Nunez De Perez, MD is a medicare enrolled "Pediatrics" physician in Trafalgar, Indiana. Her current practice location is
14 Trafalgar Sq, Trafalgar, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 412-9190.
Leticia Nicolle Nunez De Perez is licensed to practice in Indiana (license number 01076324A) 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 1548665953.
Physician's Profile
Full Name | Leticia Nicolle Nunez De Perez |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 14 Trafalgar Sq, Trafalgar, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548665953
- Provider Enumeration Date: 10/28/2014
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850690306
- Enrollment ID: I20160504001859
Medical Identifiers
Medical identifiers for Leticia Nicolle Nunez De Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548665953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 01076324A (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. Leticia Nicolle Nunez De Perez allows following entities to bill medicare on her behalf.
Entity Name | University Family Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
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Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
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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. Leticia Nicolle Nunez De 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 |
Leticia Nicolle Nunez De Perez, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Leticia Nicolle Nunez De Perez, MD 14 Trafalgar Sq, Trafalgar, IN 46181-9515 Ph: (317) 412-9190 |
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