| Blue Water Podiatry Pc | |
|
828 10th Ave, Port Huron, MI 48060-3640 | |
| (810) 982-4240 | |
| (810) 982-2479 |
| Full Name | Blue Water Podiatry Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 828 10th Ave, Port Huron, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760529705 | NPI | - | NPPES |
| 1958336 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 59000955 (Michigan) | Primary |
| Provider Name | Thomas K Ernst |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174520274 PECOS PAC ID: 7911006630 Enrollment ID: I20070621000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Podiatry Pc 5303 Shorewood Dr, Fort Gratiot, MI 48059-3137 Ph: (810) 385-2053 | Blue Water Podiatry Pc 828 10th Ave, Port Huron, MI 48060-3640 Ph: (810) 982-4240 |
Dr. Thomas Kevin Ernst, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 828 10th Ave, Port Huron, MI 48060 Phone: 810-982-4240 Fax: 810-982-2479 | |
Dr. David T Touchton, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 603 Griswold St, Port Huron, MI 48060 Phone: 810-987-7444 Fax: 810-982-7214 | |
Dr. James Peter Pitlosh, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 803 10th Ave, Suite A, Port Huron, MI 48060 Phone: 810-985-7996 | |
David T. Touchton Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 603 Griswold St, Port Huron, MI 48060 Phone: 810-987-7444 Fax: 810-982-7214 | |
Rachelle Randall, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 600 Fort St Ste 100, Port Huron, MI 48060 Phone: 810-987-9871 |