| Athens Podiatry Group | |
|
19723 Allen Rd, Brownstown Twp, MI 48183-1021 | |
| (734) 479-8383 | |
| (734) 479-8382 |
| Full Name | Athens Podiatry Group |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 19723 Allen Rd, Brownstown Twp, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508862590 | NPI | - | NPPES |
| 480H278050 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Debbie D Woody Vitale |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174607527 PECOS PAC ID: 6507868072 Enrollment ID: I20070213000280 |
| Provider Name | Laal S Zada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902096902 PECOS PAC ID: 4688725914 Enrollment ID: I20090626000514 |
| Provider Name | Jeffrey Garrett Cramblett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104039189 PECOS PAC ID: 5991859290 Enrollment ID: I20090821000042 |
| Provider Name | Vicki Maria Anton Athens |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407852510 PECOS PAC ID: 1557302437 Enrollment ID: I20100123000105 |
| Provider Name | Liljana Licovski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568469500 PECOS PAC ID: 6709928112 Enrollment ID: I20100123000120 |
| Provider Name | John Tran |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215452065 PECOS PAC ID: 4082017439 Enrollment ID: I20210723000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Podiatry Group 19723 Allen Rd, Brownstown Twp, MI 48183-1021 Ph: (734) 479-8383 | Athens Podiatry Group 19723 Allen Rd, Brownstown Twp, MI 48183-1021 Ph: (734) 479-8383 |
Dr. Jeffrey Garret Cramblett, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19723 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-479-8383 Fax: 734-479-8382 | |
Dr. Debbie D Woody Vitale, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19723 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-479-8383 Fax: 734-479-8382 | |
Dr. John Tran, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 19723 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-479-8383 Fax: 734-479-8382 | |
Vicki Maria Antonathens, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 19723 Allen Rd, Brownstown Twp, Brownstown Twp, MI 48183 Phone: 734-479-8383 Fax: 734-479-8382 | |
Dr. Liljana Licovski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19723 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-479-8383 Fax: 734-479-8382 | |
James William Hill, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 19723 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-479-8383 Fax: 734-479-8382 |