Nicole L O'rourke, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Indianapolis, Indiana. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Village Medical At Home Of Indiana Pc and her current practice location is
1919 E 52nd St Ste 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 429-0120.
Nicole L O'rourke is licensed to practice in Indiana (license number 71002948A) 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 1336377670.
Physician's Profile
| Full Name | Nicole L O'rourke |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 1919 E 52nd St Ste 200, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole L O'rourke graduated from medical school in 2009
NPI Data:
- NPI Number: 1336377670
- Provider Enumeration Date: 06/25/2009
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204974835
- Enrollment ID: I20091118000739
Medical Identifiers
Medical identifiers for Nicole L O'rourke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336377670 | NPI | - | NPPES |
| 201108760 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QG0300X | Family Medicine - Geriatric Medicine | 71002948A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71002948A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Village Medical At Home Of Indiana Pc | 1456769330 | 22 |
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. Nicole L O'rourke allows following entities to bill medicare on her behalf.
| Entity Name | Village Medical At Home Of Indiana Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235736067
PECOS PAC ID: 1456769330
Enrollment ID: O20210413002230 |
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| Entity Name | Np Enterprises Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689425928
PECOS PAC ID: 2163861683
Enrollment ID: O20240417001589 |
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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. Nicole L O'rourke 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 |
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Nicole L O'rourke, NP
9365 Counselors Row Ste 210,
Indianapolis, IN 46240-6418
Ph: (317) 429-0120 | Nicole L O'rourke, NP
1919 E 52nd St Ste 200,
Indianapolis, IN 46205-1381
Ph: (317) 429-0120 |
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