| Mr Micah James Leestma, DO | |
|
519 N Halleck St, Demotte, IN 46310-9553 | |
| (219) 987-7750 | |
| (219) 987-5750 |
| Full Name | Mr Micah James Leestma |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 519 N Halleck St, Demotte, 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 |
|---|---|---|---|
| 1013201623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02004123A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hrs Home Health Of Indiana, Llc | Merrillville, IN | Home health agency |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Pinnacle Hospital | Crown point, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leestma Medical Clinic, Inc | 1850290263 | 2 |
| Entity Name | Leestma Medical Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487986451 PECOS PAC ID: 1850290263 Enrollment ID: O20040105000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Micah James Leestma, DO 519 N Halleck St, Demotte, IN 46310-9553 Ph: (219) 987-7750 | Mr Micah James Leestma, DO 519 N Halleck St, Demotte, IN 46310-9553 Ph: (219) 987-7750 |
Mrs. Cecilia Jean Sampsel, N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Eighth Ave N.e, Demotte, IN 46310 Phone: 219-987-3581 Fax: 219-987-7137 | |
Mr. Jeffrey Glen Huxford, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 8th Ave Ne, Demotte, IN 46310 Phone: 219-987-3581 Fax: 219-987-7137 | |
Eric J Leestma, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 519 N Halleck, Demotte, IN 46310 Phone: 219-987-7750 Fax: 219-987-5750 |