Dr Louis Miceli, DO - Medicare Family Medicine in Portage, IN

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Dr Louis Miceli, DO is a medicare enrolled "Family Medicine" physician in Portage, Indiana. His current practice location is 3125 Willowcreek Rd, Portage, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 762-3175.

Dr Louis Miceli is licensed to practice in Indiana (license number 02000622) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679578272.

Contact Information

Dr Louis Miceli, DO
3125 Willowcreek Rd,
Portage, IN 46368-4423
(219) 762-3175
(219) 763-3092

Map and Direction




Physician's Profile

Full NameDr Louis Miceli
GenderMale
SpecialityFamily Medicine
Location3125 Willowcreek Rd, Portage, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679578272
  • Provider Enumeration Date: 06/20/2005
  • Last Update Date: 09/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880606334
  • Enrollment ID: I20060626000345

Medical Identifiers

Medical identifiers for Dr Louis Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679578272NPI-NPPES
200272830AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 02000622 (Indiana)Secondary
207Q00000XFamily Medicine 02000622 (Indiana)Primary

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. Dr Louis Miceli allows following entities to bill medicare on his behalf.
Entity NamePorter Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508075680
PECOS PAC ID: 1850482407
Enrollment ID: O20070810000409
Entity NameOccu-med Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295037232
PECOS PAC ID: 3870775620
Enrollment ID: O20110315000811
Entity NameVillagemd Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336676923
PECOS PAC ID: 3476813544
Enrollment ID: O20180209001231

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. Dr Louis Miceli 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
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

Reviews and Comments


Family Medicine Doctors in Portage, IN

Dr. Adrienne Baksinski, D.O.
Family Medicine
Medicare: Medicare Enrolled
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
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    
Dr. Shreyas Arvind Desai, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2640 Hamstrom Rd, Portage, IN 46368
Phone: 219-762-9523    Fax: 219-763-3120

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.