Nicholas Theodore Severyn, DO - Medicare Pediatrics in Indianapolis, IN

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Nicholas Theodore Severyn, DO is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Indianapolis, Indiana. His current practice location is 699 Riley Hospital Drive, Rr 208, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 274-4716.

Nicholas Theodore Severyn is licensed to practice in Indiana (license number 02005617A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366897605.

Contact Information

Nicholas Theodore Severyn, DO
699 Riley Hospital Drive, Rr 208,
Indianapolis, IN 46202-5119
(317) 274-4716
Not Available

Map and Direction




Physician's Profile

Full NameNicholas Theodore Severyn
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location699 Riley Hospital Drive, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366897605
  • Provider Enumeration Date: 04/24/2016
  • Last Update Date: 06/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991095754
  • Enrollment ID: I20220627001698

Medical Identifiers

Medical identifiers for Nicholas Theodore Severyn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366897605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine TP779 (Kentucky)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 02005617A (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. Nicholas Theodore Severyn allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Kentucky
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20031105000072
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518360296
PECOS PAC ID: 5597867184
Enrollment ID: O20150206000249

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. Nicholas Theodore Severyn 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 AddressPractice Location Address
Nicholas Theodore Severyn, DO
699 Riley Hospital Drive, Rr 208,
Indianapolis, IN 46202-5119

Ph: (317) 274-4716		Nicholas Theodore Severyn, DO
699 Riley Hospital Drive, Rr 208,
Indianapolis, IN 46202-5119

Ph: (317) 274-4716

Reviews and Comments


Pediatrics Doctors in Indianapolis, IN

Mohannad Moallem, M.D.
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Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202
Phone: 317-274-4779    Fax: 317-948-9806
Tracey Wilkinson, MD
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Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202
Phone: 317-962-8067    
Joshua Wayne Gollub,
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Medicare: Medicare Enrolled
Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202
Phone: 317-274-4779    Fax: 317-948-9806
Katherine Carlsen Anderson, MD
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Medicare: Medicare Enrolled
Practice Location: 1701 N Senate Blvd # Ag012, Indianapolis, IN 46202
Phone: 317-962-3525    
Ivana Radovanovic, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5550 S East St Ste C, Indianapolis, IN 46227
Phone: 317-534-4660    Fax: 317-782-4301
Samuel J Flanders, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219
Phone: 317-962-4836    Fax: 317-962-8646
Mark H Hoyer, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202
Phone: 317-274-8906    Fax: 317-274-4022

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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