| Advanced Foot & Ankle Center Pc | |
|
25990 Kelly, Suite 4, Roseville, MI 48066 | |
| (586) 771-3550 | |
| (586) 771-0953 |
| Full Name | Advanced Foot & Ankle Center Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 25990 Kelly, Roseville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477633899 | NPI | - | NPPES |
| 2709845 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | John Montoni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528077526 PECOS PAC ID: 5193708899 Enrollment ID: I20070116000488 |
| Provider Name | Sebastian A Benenati |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568475267 PECOS PAC ID: 1658354352 Enrollment ID: I20120808000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Foot & Ankle Center Pc 25990 Kelly, Suite 4, Roseville, MI 48066 Ph: (586) 771-3550 | Advanced Foot & Ankle Center Pc 25990 Kelly, Suite 4, Roseville, MI 48066 Ph: (586) 771-3550 |
Andrew Richard Mastay, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 20905 E 12 Mile Rd Ste 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Dr. James M Mccarty, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 20905 E 12 Mile Rd, Ste 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Dr. Bryan C West, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Shores Podiatry Associates, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Dr. John Montoni, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25990 Kelly Rd, Suite 4, Roseville, MI 48066 Phone: 586-771-3550 | |
Dr. Sebastian A Benenati, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25990 Kelly Road, Suite 4, Roseville, MI 48066 Phone: 586-771-3550 Fax: 586-771-0953 |