Lisa Annette Mims, MD in Indianapolis, IN - Medicare Obstetrics/gynecology

Lisa Annette Mims, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Indianapolis, Indiana. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice University Obstetricians-gynecologists,inc, The Health And Hospital Corporation Of Marion County and her current practice location is 550 N. University Blvd,, Uh2440, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 217-2400.

Lisa Annette Mims is licensed to practice in Indiana (license number 01058650A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629197041.

Contact Information

	Lisa Annette Mims, MD
	550 N. University Blvd,, Uh2440, Indianapolis, IN 46202-5274
	(317) 217-2400
	(317) 278-9918

Map and Direction

Physician's Profile

Full Name	Lisa Annette Mims
Gender	Female
Speciality	Obstetrics/gynecology
Experience	29 Years
Location	550 N. University Blvd,, Indianapolis, 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.

Medical Education and Training:

Lisa Annette Mims attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1995

NPI Data:

NPI Number: 1629197041
Provider Enumeration Date: 03/28/2007
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0941353460
Enrollment ID: I20090731000262

Medical Identifiers

Medical identifiers for Lisa Annette Mims such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629197041	NPI	-	NPPES
200924630	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	036096055 (Illinois)	Secondary
207V00000X	Obstetrics & Gynecology	036.096055 (Illinois)	Secondary
207V00000X	Obstetrics & Gynecology	01058650A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eskenazi Health	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Obstetricians-gynecologists,inc	5092796466	44
The Health And Hospital Corporation Of Marion County	6709795974	210

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. Lisa Annette Mims allows following entities to bill medicare on her behalf.

Entity Name	Eskenazi Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730451063 PECOS PAC ID: 4284546813 Enrollment ID: O20031103000440

Entity Name	University Obstetricians-gynecologists,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235177924 PECOS PAC ID: 5092796466 Enrollment ID: O20040601000544

Entity Name	The Health And Hospital Corporation Of Marion County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104027879 PECOS PAC ID: 6709795974 Enrollment ID: O20041229000426

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. Lisa Annette Mims 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
Lisa Annette Mims, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Lisa Annette Mims, MD 550 N. University Blvd,, Uh2440, Indianapolis, IN 46202-5274 Ph: (317) 217-2400

Reviews and Comments

Obstetrics & Gynecology Doctors in Indianapolis, IN

Dr. Elizabeth Ann Wehlage, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8111 Township Line Rd, Indianapolis, IN 46260 Phone: 317-415-7528 Fax: 317-415-7529
Ashley Seidner, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202 Phone: 317-957-2229
Jonathan Baker Lupton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 Phone: 317-865-3600 Fax: 317-885-3850
Lillie-mae Padilla, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd, Uh 2440, Indianapolis, IN 46202 Phone: 317-274-1661 Fax: 317-278-9918
James H Brillhart, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8040 Clearvista Pkwy, Suite 520, Indianapolis, IN 46256 Phone: 317-621-2400 Fax: 317-621-5266
Alan M Golichowski, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8091 Township Line Rd Ste 108, Indianapolis, IN 46260 Phone: 317-415-8100
Jon K Hathaway, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-1661 Fax: 317-278-9918

Lisa Annette Mims, MD - Medicare Obstetrics/gynecology in Indianapolis, IN