Dr Jeremy G Fisk, MD | |
509 N Peru St, Cicero, IN 46034-9499 | |
(317) 984-9311 | |
(317) 984-7302 |
Full Name | Dr Jeremy G Fisk |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 509 N Peru St, Cicero, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174788780 | NPI | - | NPPES |
200977870 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01066942A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Suburban Home Health Llc | Noblesville, IN | Home health agency |
Riverview Health | Noblesville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverview Hospital | 1153216627 | 158 |
Entity Name | Riverview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy G Fisk, MD Po Box 775985, Chicago, IL 60677-5985 Ph: (317) 770-6911 | Dr Jeremy G Fisk, MD 509 N Peru St, Cicero, IN 46034-9499 Ph: (317) 984-9311 |
Megan Jane Eaton, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1160 S Peru St, Cicero, IN 46034 Phone: 317-984-9311 Fax: 317-984-7302 | |
Charles R Harris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 509 N Peru St, Cicero, IN 46034 Phone: 317-984-9311 Fax: 317-984-7302 | |
Devona R Anderson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1160 S Peru St, Cicero, IN 46034 Phone: 866-631-9941 Fax: 317-984-8773 |