James C Bolz, MD | |
22250 Providence Dr, Suite 401, Southfield, MI 48075-4825 | |
(866) 974-2673 | |
(866) 939-2673 |
Full Name | James C Bolz |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 22250 Providence Dr, Southfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396716429 | NPI | - | NPPES |
4341465 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301044756 (Michigan) | Primary |
Entity Name | The Porretta Center For Orthopaedic Surgery, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306818331 PECOS PAC ID: 2860585544 Enrollment ID: O20070911000839 |
Mailing Address | Practice Location Address |
---|---|
James C Bolz, MD 18444 N 25th Ave, Ste 310, Phoenix, AZ 85023-1261 Ph: (866) 974-2673 | James C Bolz, MD 22250 Providence Dr, Suite 401, Southfield, MI 48075-4825 Ph: (866) 974-2673 |
Jefferey E Michaelson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 401, Southfield, MI 48075 Phone: 866-974-2673 Fax: 866-939-2673 | |
Dr. James J Verner, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1902 | |
Dr. Daniel Park, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 | |
Dr. Khalid Ibrahim Odeh, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 26025 Lahser Rd, Southfield, MI 48033 Phone: 248-755-2433 | |
Dr. Jad Georges Khalil, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1901 | |
Dr. David J Collon, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1902 | |
Dr. Paul S Shapiro, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1902 |