Dr Bryan C West, DPM | |
20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 | |
(586) 772-3500 | |
(586) 772-6540 |
Full Name | Dr Bryan C West |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 23 Years |
Location | 20905 E 12 Mile Rd, Roseville, 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 |
---|---|---|---|
1407826241 | NPI | - | NPPES |
4717640 | Medicaid | MI | |
38-2777871 | Other | TAX ID # | |
0007767468 | Other | MI | AETNA |
149092 | Other | MI | GREAT LAKE HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | BW002032 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital, Troy | Troy, MI | Hospital |
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shores Podiatry Associates Pc | 7012997893 | 5 |
Provider Name | Shores Podiatry Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447204151 PECOS PAC ID: 7012997893 Enrollment ID: O20040722000482 |
Mailing Address | Practice Location Address |
---|---|
Dr Bryan C West, DPM 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 Ph: (586) 772-3500 | Dr Bryan C West, DPM 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 Ph: (586) 772-3500 |
Andrew Richard Mastay, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 20905 E 12 Mile Rd Ste 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Dr. James M Mccarty, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 20905 E 12 Mile Rd, Ste 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Shores Podiatry Associates, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Advanced Foot & Ankle Center Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 25990 Kelly, Suite 4, Roseville, MI 48066 Phone: 586-771-3550 Fax: 586-771-0953 | |
Dr. John Montoni, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25990 Kelly Rd, Suite 4, Roseville, MI 48066 Phone: 586-771-3550 | |
Dr. Sebastian A Benenati, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25990 Kelly Road, Suite 4, Roseville, MI 48066 Phone: 586-771-3550 Fax: 586-771-0953 |