Individual
JEFFREY P LETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 744-8326
(260) 425-6845
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
02005703A
IN
207RH0003X
Hematology & Oncology Physician
5101010182
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01008954
HEALTHPLUS OF MICHIGAN
MI
01
—
0N89040
MEDICARE PLUS BLUE MICHIGAN
MI
01
—
123610
GREAT LAKES MEDICAID HMO
MI
01
—
14662
HEALTH PLAN OF MICHIGAN HMO
MI
01
—
3600159
PHP MID MICHIGAN
MI
01
—
383578337053
CARE SOURCE MEDICAID HMO
MI
05
—
4290016
—
MI
01
—
830007320
RAIL ROAD MEDICARE
MI
01
—
F59303
TRICARE
MI
01
—
JL010182
BLUE CROSS BLUE SHIELD MICHIGAN
MI
Enumeration date
07/20/2005
Last updated
03/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us