Ankle & Foot Associates Of Northern Michigan Pc | |
408 Lake St, Roscommon, MI 48653-7663 | |
(989) 275-3668 | |
Not Available |
Full Name | Ankle & Foot Associates Of Northern Michigan Pc |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 408 Lake St, Roscommon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003943861 | NPI | - | NPPES |
480G210210 | Other | MI | BCBS GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901002144 (Michigan) | Primary |
Provider Name | Tracy M Bacik |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1023052081 PECOS PAC ID: 8628081494 Enrollment ID: I20060720000291 |
Provider Name | Brian M Brausa |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659411619 PECOS PAC ID: 1355447210 Enrollment ID: I20070509000669 |
Mailing Address | Practice Location Address |
---|---|
Ankle & Foot Associates Of Northern Michigan Pc 408 Lake Street, P.o. Box 949, Roscommon, MI 48653 Ph: (989) 275-3668 | Ankle & Foot Associates Of Northern Michigan Pc 408 Lake St, Roscommon, MI 48653-7663 Ph: (989) 275-3668 |
Dr. Tracy Marie Bacik, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 408 Lake St, Roscommon, MI 48653 Phone: 989-275-3668 Fax: 989-275-3338 | |
Dr. Brian M Brausa, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 408 Lake St, Roscommon, MI 48653 Phone: 989-275-3668 |