Micah Spencer, in Kendallville, IN - Medicare Podiatry Provider

Micah Spencer, is a medicare enrolled "Podiatrist" provider in Kendallville, Indiana. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice The South Bend Clinic Llc and his current practice location is 401 N Sawyer Rd Ste C, Kendallville, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 347-2833.

Micah Spencer is licensed to practice in Indiana (license number 07001372A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558850164.

Contact Information

	Micah Spencer,
	401 N Sawyer Rd Ste C, Kendallville, IN 46755-2568
	(260) 347-2833
	(260) 347-1724

Map and Direction

Healthcare Provider's Profile

Full Name	Micah Spencer
Gender	Male
Speciality	Podiatry
Experience	8 Years
Location	401 N Sawyer Rd Ste C, Kendallville, 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.

Medical Education and Training:

Micah Spencer graduated from medical school in 2018

NPI Data:

NPI Number: 1558850164
Provider Enumeration Date: 05/09/2018
Last Update Date: 03/02/2026

Medicare PECOS Information:

PECOS PAC ID: 8224383716
Enrollment ID: I20210723002056

Medical Identifiers

Medical identifiers for Micah Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558850164	NPI	-	NPPES
300014870	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	07001372A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The South Bend Clinic Llc	3779577937	160

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. Micah Spencer allows following entities to bill medicare on his behalf.

Provider Name	The South Bend Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

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. Micah Spencer 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 Address	Practice Location Address
Micah Spencer, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Micah Spencer, 401 N Sawyer Rd Ste C, Kendallville, IN 46755-2568 Ph: (260) 347-2833

Reviews and Comments

Podiatrist in Kendallville, IN

Vince J. Coda And Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 410 E Mitchell St, Kendallville, IN 46755 Phone: 260-347-2833
Dr. Vincent J Coda, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 410 E Mitchell St, Kendallville, IN 46755 Phone: 260-347-2833 Fax: 260-347-1724
Dr. Jason D Dedoes, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 213 Fairview Blvd, Kendallville, IN 46755 Phone: 260-347-2833 Fax: 260-668-7563

Micah Spencer, - Medicare Podiatrist in Kendallville, IN