| Mica Metz, DO | |
|
545 Vitality Dr, Suite A, Fortville, IN 46040-1373 | |
| (317) 621-9220 | |
| (317) 355-8734 |
| Full Name | Mica Metz |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 545 Vitality Dr, Fortville, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023457231 | NPI | - | NPPES |
| 201178140 | Medicaid | IN | |
| P01777173 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11017373A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 02004730A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital Of Anderson And Madison County | Anderson, IN | Hospital |
| Community Hospital North | Indianapolis, IN | Hospital |
| Hancock Regional Hospital | Greenfield, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1386 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Mica Metz, DO 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () - | Mica Metz, DO 545 Vitality Dr, Suite A, Fortville, IN 46040-1373 Ph: (317) 621-9220 |
Brendan Leroy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 545 Vitality Dr Ste 100a, Fortville, IN 46040 Phone: 317-621-9220 Fax: 317-621-9222 | |
Margaret S Fitzsimmons, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Vitality Dr, Fortville, IN 46040 Phone: 317-477-6400 Fax: 317-477-6409 |