Regina Lee Endicott, FNP-BC in Indianapolis, IN

Regina Lee Endicott, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. Her current practice location is 9805 Geist Crossing Dr, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 577-1353.

Regina Lee Endicott is licensed to practice in Indiana (license number 71002206A) 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 1639249188.

Contact Information

	Regina Lee Endicott, FNP-BC
	9805 Geist Crossing Dr, Indianapolis, IN 46256-4819
	(317) 577-1353
	Not Available

Map and Direction

Provider's Profile

Full Name	Regina Lee Endicott
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9805 Geist Crossing Dr, 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: 1639249188
Provider Enumeration Date: 11/09/2006
Last Update Date: 10/10/2021

Medicare PECOS Information:

PECOS PAC ID: 0446355739
Enrollment ID: I20070416000123

Medical Identifiers

Medical identifiers for Regina Lee Endicott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639249188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71002206A (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. Regina Lee Endicott allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552

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. Regina Lee Endicott 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
Regina Lee Endicott, FNP-BC 9805 Geist Crossing Dr, Indianapolis, IN 46256-4819 Ph: (317) 577-1353	Regina Lee Endicott, FNP-BC 9805 Geist Crossing Dr, Indianapolis, IN 46256-4819 Ph: (317) 577-1353

Reviews and Comments

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Regina Lee Endicott, FNP-BC - Medicare Nurse Practitioner in Indianapolis, IN