Micah Spencer, - Medicare Podiatrist in Mishawaka, IN

Micah Spencer, is a medicare enrolled "Podiatrist" provider in Mishawaka, Indiana. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice The South Bend Clinic Llc and his current practice location is 611 E Douglas Rd Ste 407, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-6500.

Micah Spencer is licensed to practice in Indiana (license number 99086926A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558850164.

Contact Information

Micah Spencer,
611 E Douglas Rd Ste 407,
Mishawaka, IN 46545
(574) 335-6500
Not Available



Healthcare Provider's Profile

Full NameMicah Spencer
GenderMale
SpecialityPodiatry
Experience6 Years
Location611 E Douglas Rd Ste 407, Mishawaka, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Micah Spencer graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1558850164
  • Provider Enumeration Date: 05/09/2018
  • Last Update Date: 07/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224383716
  • Enrollment ID: I20210723002056

Medical Identifiers

Medical identifiers for Micah Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558850164NPI-NPPES
300014870MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 99086926A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical CenterMishawaka, INHospital
Memorial Hospital Of South BendSouth bend, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The South Bend Clinic Llc3779577937174

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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. Micah Spencer allows following entities to bill medicare on his behalf.
Provider NameThe South Bend Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439

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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. Micah Spencer 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 AddressPractice Location Address
Micah Spencer,
211 N Eddy St,
South Bend, IN 46617-2808

Ph: (574) 299-2450
Micah Spencer,
611 E Douglas Rd Ste 407,
Mishawaka, IN 46545

Ph: (574) 335-6500

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Podiatrist in Mishawaka, IN

Dr N W Worden Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2206 Lincolnway E, Mishawaka, IN 46544
Phone: 574-258-5060    Fax: 574-258-5076
University Park Podiatry
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 3665 Park Pl W, Suite 200, Mishawaka, IN 46545
Phone: 574-271-1030    Fax: 574-271-1032
Ngan T Nguyen, D.P.M
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Douglas Rd Ste 101, Mishawaka, IN 46545
Phone: 574-335-6800    Fax: 574-335-0732
Cassandra Papak, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Douglas Rd, Ste 406, Mishawaka, IN 46545
Phone: 574-335-6500    Fax: 574-335-0772
Dr. N W Worden, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2206 Lincoln Way E, Mishawaka, IN 46544
Phone: 574-258-5060    Fax: 574-258-5076
Michael Salcedo, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 3665 Park Pl W, Suite 200, Mishawaka, IN 46545
Phone: 574-271-1030    Fax: 574-271-1032

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