| Dr Jeremy G Fisk, MD | |
|
1160 S Peru St, Cicero, IN 46034-9601 | |
| (317) 984-9311 | |
| (317) 984-7302 |
| Full Name | Dr Jeremy G Fisk |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 1160 S 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 |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverview Hospital | 1153216627 | 208 |
| 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 843022, Kansas City, MO 64184-3022 Ph: (317) 770-6900 | Dr Jeremy G Fisk, MD 1160 S Peru St, Cicero, IN 46034-9601 Ph: (317) 984-9311 |
Megan Jane Eaton, DO Family Medicine Medicare: Accepting Medicare Assignments 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 |