| Nicole Suzette Perry, MD | |
|
100 Town Center Rd S, Ste B, Mooresville, IN 46158-2321 | |
| (317) 497-2300 | |
| (317) 497-2502 |
| Full Name | Nicole Suzette Perry |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 36 Years |
| Location | 100 Town Center Rd S, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801899901 | NPI | - | NPPES |
| 000000283023 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200130700 | Medicaid | IN | |
| P01018478 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01040509A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital South, Inc. | Indianapolis, IN | Hospital |
| Community Hospital East | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1386 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Suzette Perry, MD 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Nicole Suzette Perry, MD 100 Town Center Rd S, Ste B, Mooresville, IN 46158-2321 Ph: (317) 497-2300 |
Dr. Virginia Ann Dangerfield Takagi, M.D. 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 | |
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 | |
Jamie L Cooper, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1205 Hadley Rd, Mooresville, IN 46158 Phone: 317-584-3454 Fax: 317-584-3435 | |
Adrianne Nichele Banks, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1205 Hadley Rd Ste 120, Mooresville, IN 46158 Phone: 317-584-3454 Fax: 877-245-5768 |