| Michael David Felice, MD | |
|
2401 W University Ave, Muncie, IN 47303-3428 | |
| (765) 747-4332 | |
| (765) 448-7689 |
| Full Name | Michael David Felice |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2401 W University Ave, Muncie, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053817338 | NPI | - | NPPES |
| 1104321221 | Other | IN | ANTHEM PTAN |
| 300093807 | Medicaid | IN |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael David Felice, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Michael David Felice, MD 2401 W University Ave, Muncie, IN 47303-3428 Ph: (765) 747-4332 |
Chandra Kathryn Flack, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2901 W Jackson St, Muncie, IN 47304 Phone: 765-747-4332 Fax: 765-448-7689 | |
Dr. Albert Nicholas Bruno Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 Fax: 765-289-8628 | |
Dr. Jeffrey Clare Ulrich, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7127 | |
David W Hall Ii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 Fax: 765-289-8628 | |
Dr. Onisuru T Okotie, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 | |
Dr. Robert Simpson Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7127 Fax: 765-289-8628 |