Benedict P Pellerito, MD | |
24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080-3207 | |
(586) 779-7970 | |
(586) 779-7748 |
Full Name | Benedict P Pellerito |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 31 Years |
Location | 24715 Little Mack Ave, St Clair Shores, Michigan |
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 |
---|---|---|---|
1780655969 | NPI | - | NPPES |
4327706 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301061624 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Custom Home Health | Troy, MI | Home health agency |
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Henry Ford Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Orthopedists Of Detroit Pc | 3375440134 | 17 |
Entity Name | Associated Orthopedists Of Detroit Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083686083 PECOS PAC ID: 3375440134 Enrollment ID: O20031218000543 |
Mailing Address | Practice Location Address |
---|---|
Benedict P Pellerito, MD 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 Ph: (586) 779-7970 | Benedict P Pellerito, MD 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080-3207 Ph: (586) 779-7970 |
Michael R. Demers, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 | |
Steven J. Cusick, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 | |
James D. Bookout, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 | |
Edward S. Jeffries, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 |