Dr Louis Miceli, DO | |
3125 Willowcreek Rd, Portage, IN 46368-4423 | |
(219) 762-3175 | |
(219) 763-3092 |
Full Name | Dr Louis Miceli |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 49 Years |
Location | 3125 Willowcreek Rd, Portage, 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 |
---|---|---|---|
1679578272 | NPI | - | NPPES |
200272830A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 02000622 (Indiana) | Secondary |
207Q00000X | Family Medicine | 02000622 (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Villagemd Indiana Pc | 3476813544 | 7 |
Entity Name | Porter Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
Entity Name | Occu-med Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295037232 PECOS PAC ID: 3870775620 Enrollment ID: O20110315000811 |
Entity Name | Villagemd Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336676923 PECOS PAC ID: 3476813544 Enrollment ID: O20180209001231 |
Mailing Address | Practice Location Address |
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Dr Louis Miceli, DO 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616 | Dr Louis Miceli, DO 3125 Willowcreek Rd, Portage, IN 46368-4423 Ph: (219) 762-3175 |
Dr. Adrienne Baksinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3283 Willowcreek Rd, Portage, IN 46368 Phone: 219-764-8439 Fax: 249-764-8463 | |
Gretchen M Haney, MSN, APRN, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Dr. Frank X Weilnhammer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 | |
Kenneth A Black, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-759-1157 | |
Dr. Inderjit K Kapoor, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6375 Us Highway 6, Portage, IN 46368 Phone: 219-762-3196 Fax: 219-763-6438 | |
Dr. Shane David Bush, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-364-3700 | |
Julijana Obetkovska, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 |