Dr Charles Marvin Johnson, DPM | |
10244 W 7 Mile Rd, Detroit, MI 48221-1904 | |
(313) 862-5800 | |
(313) 862-2865 |
Full Name | Dr Charles Marvin Johnson |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 10244 W 7 Mile Rd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245327543 | NPI | - | NPPES |
CJ001211 | Other | MI | LICENSE NUMBER |
480H232610 | Other | MI | BLUE CROSS |
4866541 | Medicaid | MI | |
4858250260 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 5901001211 (Michigan) | Primary |
Provider Name | Charles M Johnson Podiatrist Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902955560 PECOS PAC ID: 6002901741 Enrollment ID: O20070926000946 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Marvin Johnson, DPM 10244 W 7 Mile Rd, Detroit, MI 48221-1904 Ph: (313) 862-5800 | Dr Charles Marvin Johnson, DPM 10244 W 7 Mile Rd, Detroit, MI 48221-1904 Ph: (313) 862-5800 |
Bazzi Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 7633 E Jefferson Ave, Suite 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
Eric J. Foreman, Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18254 Livernois Ave Ste 2, Detroit, MI 48221 Phone: 248-646-6882 | |
Henry Ford Health System Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Herbert Bircoll, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 7633 E. Jefferson, Suite 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
Highland Park Foot Clinic Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18460 Revere St, Detroit, MI 48234 Phone: 313-865-4400 Fax: 313-865-4400 | |
Dr. Mohammed Bazzi, D.P.M Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 7633 E Jefferson Ave, Ste 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
Kevin E Till Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 4160 John R St, Ste 1012, Detroit, MI 48201 Phone: 313-831-6442 Fax: 313-831-6513 |