Gregory Pearson Wynne, DO is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Noblesville, Indiana. His current practice location is
9669 E 146th St Ste 330, Noblesville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 355-2663.
Gregory Pearson Wynne is licensed to practice in Indiana (license number 02006722A) 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 1558725937.
Physician's Profile
Full Name | Gregory Pearson Wynne |
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Gender | Male |
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Speciality | Orthopaedic Surgery - Sports Medicine |
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Location | 9669 E 146th St Ste 330, Noblesville, 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: 1558725937
- Provider Enumeration Date: 04/11/2016
- Last Update Date: 06/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183919483
- Enrollment ID: I20220926000098
Medical Identifiers
Medical identifiers for Gregory Pearson Wynne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558725937 | NPI | - | NPPES |
Q00387672 | Other | IN | RAILROAD MEDICARE |
266180L93 | Other | | MEDICARE |
300065787 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 02006722A (Indiana) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 02006722A (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. Gregory Pearson Wynne allows following entities to bill medicare on his behalf.
Entity Name | Community Physicians Of Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
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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. Gregory Pearson Wynne 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 |
Gregory Pearson Wynne, DO 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-1647 | Gregory Pearson Wynne, DO 9669 E 146th St Ste 330, Noblesville, IN 46060-5006 Ph: (317) 355-2663 |
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