East Side Foot & Ankle Clinic Pc - Medicare Podiatrist in Saint Clair Shores, MI

East Side Foot & Ankle Clinic Pc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Saint Clair Shores, Michigan. Their current practice location is 22301 Greater Mack Ave, Suite 3, Saint Clair Shores, Michigan. You can reach out to their office (for appointments etc.) via phone at (586) 776-7000.

East Side Foot & Ankle Clinic Pc is licensed to practice in Michigan (license number 5901001005) and it also participates in the medicare program. East Side Foot & Ankle Clinic Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1801910229.

Contact Information

East Side Foot & Ankle Clinic Pc
22301 Greater Mack Ave, Suite 3,
Saint Clair Shores, MI 48080-2376
(586) 776-7000
(586) 776-7003



Healthcare Provider's Profile

Full NameEast Side Foot & Ankle Clinic Pc
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location22301 Greater Mack Ave, Saint Clair Shores, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801910229
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 08/04/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3971614421
  • Enrollment ID: O20100930028621

Medical Identifiers

Medical identifiers for East Side Foot & Ankle Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801910229NPI-NPPES
2926711MedicaidMI
89594BOtherMIHAP
480014028OtherMIRAILROAD MEDICARE PTAN
0005335144OtherMIAETNA
0Q24605OtherMIBLUECROSS PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 5901001005 (Michigan)Primary
332BC3200XDurable Medical Equipment & Medical Supplies - Customized Equipment 5901001005 (Michigan)Secondary

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. East Side Foot & Ankle Clinic Pc 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 AddressPractice Location Address
East Side Foot & Ankle Clinic Pc
22301 Greater Mack Ave, Suite 3,
Saint Clair Shores, MI 48080-2376

Ph: (586) 776-7000
East Side Foot & Ankle Clinic Pc
22301 Greater Mack Ave, Suite 3,
Saint Clair Shores, MI 48080-2376

Ph: (586) 776-7000

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Podiatrist in Saint Clair Shores, MI

Shores Foot And Ankle Center Ltd.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 22719 Garfield St, Saint Clair Shores, MI 48082
Phone: 586-294-7250    Fax: 586-294-7251
Dr. Danielle Nicole Ronyak, D.P.M.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 27593 Harper Avenue, Saint Clair Shores, MI 48081
Phone: 586-779-6140    Fax: 586-779-9865
Dr. Anthony V Benenati, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 27593 Harper, Saint Clair Shores, MI 48081
Phone: 586-779-6140    Fax: 586-779-9865
Podcare
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 21327 Harper Ave, Suite C, Saint Clair Shores, MI 48080
Phone: 989-791-2455    Fax: 989-791-2455
Dr. Neil T Shaw, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 27593 Harper, Saint Clair Shores, MI 48081
Phone: 586-779-6140    Fax: 586-779-9865
Eastside Podiatry Pllc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 24025 Greater Mack, Suite 101, Saint Clair Shores, MI 48080
Phone: 313-884-7566    Fax: 313-884-3140
Dr. Julie Anna Mrozek, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 27593 Harper Ave, Saint Clair Shores, MI 48081
Phone: 586-779-6140    Fax: 586-779-9865

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