| Brian G. Loder Dpm Plc | |
|
43391 Commons Dr, Clinton Twp, MI 48038-1109 | |
| (586) 329-3895 | |
| (586) 329-3916 |
| Full Name | Brian G. Loder Dpm Plc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 43391 Commons Dr, Clinton 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 |
|---|---|---|---|
| 1508004920 | NPI | - | NPPES |
| 480E027990 | Other | MI | BCBS GROUP |
| DP6530 | Other | MI | RAILROAD MEDICARE |
| U53759 | Other | MI | HAP |
| 480E027990 | Other | MI | BCN GROUP |
| 1508004920 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901001662 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Michigan) | Secondary |
| Provider Name | Brian G Loder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184629180 PECOS PAC ID: 5193798569 Enrollment ID: I20040820000507 |
| Provider Name | Syed M Ghani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174521439 PECOS PAC ID: 4183685761 Enrollment ID: I20041027000220 |
| Provider Name | Cody A Brush |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801259551 PECOS PAC ID: 8426341280 Enrollment ID: I20190603002326 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian G. Loder Dpm Plc 15760 19 Mile Rd Ste E, Clinton Twp, MI 48038-6319 Ph: (586) 329-3895 | Brian G. Loder Dpm Plc 43391 Commons Dr, Clinton Twp, MI 48038-1109 Ph: (586) 329-3895 |
Cross Francis Moceri, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 39090 Garfield, Suite 101, Clinton Twp, MI 48038 Phone: 586-286-8660 Fax: 586-286-8353 | |
Kirin Kaur, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2300 | |
Stephen D. Pitzer D.p.m. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 43171 Dalcoma Dr, Suite #5, Clinton Twp, MI 48038 Phone: 586-263-4524 Fax: 586-263-4290 | |
Karl William Dunn, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2950 | |
Dr. Megan Jinmoon Lee, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 42621 Garfield Rd, Clinton Twp, MI 48038 Phone: 586-228-6688 |