Dr Stefani Stevanija Tica, MD in Indianapolis, IN

Dr Stefani Stevanija Tica, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Indianapolis, Indiana. Her current practice location is 705 Riley Hospital Dr Ste 4210, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 944-3774.

Dr Stefani Stevanija Tica is licensed to practice in Indiana (license number 01094083A) 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 1598285165.

Contact Information

	Dr Stefani Stevanija Tica, MD
	705 Riley Hospital Dr Ste 4210, Indianapolis, IN 46202-5109
	(317) 944-3774
	(317) 968-1055

Map and Direction

Physician's Profile

Full Name	Dr Stefani Stevanija Tica
Gender	Female
Speciality	Pediatrics - Pediatric Gastroenterology
Location	705 Riley Hospital Dr Ste 4210, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598285165
Provider Enumeration Date: 06/23/2017
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3476975301
Enrollment ID: I20200623002939

Medical Identifiers

Medical identifiers for Dr Stefani Stevanija Tica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598285165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2020013471 (Missouri)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	2020013471 (Missouri)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	2020013471 (Missouri)	Secondary
208M00000X	Hospitalist	2020013471 (Missouri)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	01094083A (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. Dr Stefani Stevanija Tica allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287

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. Dr Stefani Stevanija Tica 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
Dr Stefani Stevanija Tica, MD 705 Riley Hospital Dr Ste 4200, Indianapolis, IN 46202-5109 Ph: () -	Dr Stefani Stevanija Tica, MD 705 Riley Hospital Dr Ste 4210, Indianapolis, IN 46202-5109 Ph: (317) 944-3774

Reviews and Comments

Pediatrics Doctors in Indianapolis, IN

Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067
Samuel J Flanders, M.D. Pediatrics 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
Dr. Alka Khaitan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr Rr230, Indianapolis, IN 46202 Phone: 317-944-7260
Dr. Leslie Anne Enane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-7260 Fax: 317-948-0860
Christine Nix, Pediatrics Medicare: Medicare Enrolled Practice Location: 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202 Phone: 317-944-4034

Dr Stefani Stevanija Tica, MD - Medicare Pediatrics in Indianapolis, IN