Dr Anthony Marc Mastrogiacomo, DPM | |
22245 Pontiac Trl, South Lyon, MI 48178-1639 | |
(248) 486-8886 | |
(248) 486-8887 |
Full Name | Dr Anthony Marc Mastrogiacomo |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 28 Years |
Location | 22245 Pontiac Trl, South Lyon, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720055387 | NPI | - | NPPES |
4619433 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | AM001831 (Michigan) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | AM001831 (Michigan) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Lyon Foot And Ankle Specialists, P.c. | 6204808082 | 2 |
Provider Name | South Lyon Foot & Ankle Specialists, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003809682 PECOS PAC ID: 6204808082 Enrollment ID: O20040811001017 |
Provider Name | Harvey Lefkowitz, D.p.m., P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316945413 PECOS PAC ID: 0547235715 Enrollment ID: O20040831000967 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Marc Mastrogiacomo, DPM 22245 Pontiac Trl, South Lyon, MI 48178-1639 Ph: (248) 486-8886 | Dr Anthony Marc Mastrogiacomo, DPM 22245 Pontiac Trl, South Lyon, MI 48178-1639 Ph: (248) 486-8886 |
South Lyon Foot & Ankle Specialists, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 22245 Pontiac Trl, South Lyon, MI 48178 Phone: 248-486-8886 Fax: 248-486-8887 | |
Baril Foot & Ankle Care, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26012 Pontiac Trl, South Lyon, MI 48178 Phone: 248-278-6133 Fax: 248-278-6177 | |
Dr. Raymond H. Durussel, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 13650 10 Mile Rd, South Lyon, MI 48178 Phone: 248-486-1177 Fax: 248-486-5575 | |
Dr. Rebecca Anne Baril, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26012 Pontiac Trl, South Lyon, MI 48178 Phone: 248-278-6133 | |
Gentle Foot & Ankle Care Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 13650 Ten Mile Rd, South Lyon, MI 48178 Phone: 248-486-1177 |