Leslie M Antonelli, MSN, RN in Indianapolis, IN

Leslie M Antonelli, MSN, RN is a medicare enrolled "Nurse Practitioner - Neonatal" in Indianapolis, Indiana. Her current practice location is 8111 Township Line Rd, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 415-7921.

Leslie M Antonelli is licensed to practice in Indiana (license number 71002959A) 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 1013193457.

Contact Information

	Leslie M Antonelli, MSN, RN
	8111 Township Line Rd, Indianapolis, IN 46260-2479
	(317) 415-7921
	Not Available

Map and Direction

Provider's Profile

Full Name	Leslie M Antonelli
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	8111 Township Line Rd, 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: 1013193457
Provider Enumeration Date: 01/16/2008
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4385071091
Enrollment ID: I20200218002991

Medical Identifiers

Medical identifiers for Leslie M Antonelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013193457	NPI	-	NPPES
200953450	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28154154A (Indiana)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	71002959A (Indiana)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	71002959A (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. Leslie M Antonelli allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Pediatric Subspecialties
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627

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. Leslie M Antonelli 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
Leslie M Antonelli, MSN, RN 8111 Township Line Rd, Indianapolis, IN 46260-2479 Ph: () -	Leslie M Antonelli, MSN, RN 8111 Township Line Rd, Indianapolis, IN 46260-2479 Ph: (317) 415-7921

Reviews and Comments

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Leslie M Antonelli, MSN, RN - Medicare Nurse Practitioner in Indianapolis, IN