Ahmet Surucu, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. His current practice location is
350 W 11th St, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 274-2476.
Ahmet Surucu is licensed to practice in Indiana (license number 11021142A) 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 1205395456.
Physician's Profile
Full Name | Ahmet Surucu |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 350 W 11th St, Indianapolis, 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: 1205395456
- Provider Enumeration Date: 03/18/2019
- Last Update Date: 06/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406189166
- Enrollment ID: I20190612000161
Medical Identifiers
Medical identifiers for Ahmet Surucu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205395456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 99999999 (Missouri) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 11021142A (Indiana) | Primary |
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. Ahmet Surucu 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 |
Ahmet Surucu, MD 350 W 11th St, Indianapolis, IN 46202-4108 Ph: (317) 274-2476 | Ahmet Surucu, MD 350 W 11th St, Indianapolis, IN 46202-4108 Ph: (317) 274-2476 |
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