Micah Spencer is a Mishawaka, Indiana based male podiatrist with 6 years of experience in Podiatry. He completed his graduation in 2018. He is also affiliated with hospitals like Saint Joseph Regional Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Micah Spencer for Podiatry is 99086926A in Indiana. Micah Spencer is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Micah Spencer speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2018
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
611 E Douglas Rd Ste 407, Mishawaka, Indiana, 46545
Phone:
574-335-6500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8224383716
Enrollment ID:
I20210723002056
NPI Number:
1558850164
NPI Enumeration Date:
09 May, 2018
NPI Last Update On:
22 Jul, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Micah Spencer are as mentioned below.
License Number
Specialization
State
Status
99086926A
Podiatry
Indiana
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Saint Joseph Regional Medical Center (150012)
Mishawaka, IN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Micah Spencer is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
The South Bend Clinic Llc (3779577937)
168
Other Medical Identifiers:
Other legacy medical identifiers associated with Micah Spencer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
300014870
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
211 N Eddy St, South Bend, Indiana
Zip:
46617-2808
Phone Number:
574-299-2450
Fax Number:
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Patients can reach Micah Spencer at 611 E Douglas Rd Ste 407, Mishawaka, Indiana or can call to book an appointment on 574-335-6500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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