| Nico Mousdicas, MD | |
|
755 W Carmel Dr, Suite 101, Carmel, IN 46032-5877 | |
| (317) 846-2396 | |
| (317) 846-1699 |
| Full Name | Nico Mousdicas |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 755 W Carmel Dr, Carmel, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144238650 | NPI | - | NPPES |
| 200488150 | Medicaid | IN | |
| 000000334111 | Other | IN | ANTHEM |
| 000000563670 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01061689A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nico Mousdicas, MD 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Nico Mousdicas, MD 755 W Carmel Dr, Suite 101, Carmel, IN 46032-5877 Ph: (317) 846-2396 |
Perry Hooper, MD Dermatology Medicare: Medicare Enrolled Practice Location: 725 Lakefront Ct, Carmel, IN 46032 Phone: 317-926-3739 | |
Mary J Tempel, N.P. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 11900 N Pennsylvania St, #202, Carmel, IN 46032 Phone: 317-926-3739 Fax: 317-921-7478 | |
Dr. Andrew T Bridge, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13000 N Meridian St Ste 101, Carmel, IN 46032 Phone: 317-208-3813 Fax: 317-208-3815 | |
Robert Patrick Daze, DO Dermatology Medicare: Medicare Enrolled Practice Location: 755 W Carmel Dr Ste 101, Carmel, IN 46032 Phone: 317-846-2396 Fax: 317-846-1699 | |
Ross Matthew Levy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13450 N Meridian St, Suite 355, Carmel, IN 46032 Phone: 317-582-8484 | |
Lisa Edwards Trivedi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Lakefront Ct, Carmel, IN 46032 Phone: 317-926-3739 |