Nicholas Theodore Severyn, DO - Medicare Pediatrics in Indianapolis, IN

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Nicholas Theodore Severyn, DO is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Indianapolis, Indiana. His current practice location is 699 Riley Hospital Drive, Rr 208, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 274-4716.

Nicholas Theodore Severyn is licensed to practice in Indiana (license number 02005617A) 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 1366897605.

Contact Information

Nicholas Theodore Severyn, DO
699 Riley Hospital Drive, Rr 208,
Indianapolis, IN 46202-5119
(317) 274-4716
Not Available

Map and Direction




Physician's Profile

Full NameNicholas Theodore Severyn
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location699 Riley Hospital Drive, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366897605
  • Provider Enumeration Date: 04/24/2016
  • Last Update Date: 06/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991095754
  • Enrollment ID: I20220627001698

Medical Identifiers

Medical identifiers for Nicholas Theodore Severyn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366897605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine TP779 (Kentucky)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 02005617A (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. Nicholas Theodore Severyn allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Kentucky
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20031105000072
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518360296
PECOS PAC ID: 5597867184
Enrollment ID: O20150206000249

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. Nicholas Theodore Severyn 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 AddressPractice Location Address
Nicholas Theodore Severyn, DO
699 Riley Hospital Drive, Rr 208,
Indianapolis, IN 46202-5119

Ph: (317) 274-4716		Nicholas Theodore Severyn, DO
699 Riley Hospital Drive, Rr 208,
Indianapolis, IN 46202-5119

Ph: (317) 274-4716

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
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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    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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