Dr George Daniel Shanahan Iv, DPM | |
9640 Commerce Rd Ste 102, Commerce Twp, MI 48382-4167 | |
(248) 360-3888 | |
(248) 363-0894 |
Full Name | Dr George Daniel Shanahan Iv |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 33 Years |
Location | 9640 Commerce Rd Ste 102, Commerce Twp, 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 |
---|---|---|---|
1003818907 | NPI | - | NPPES |
38-3128264 | Other | TAX ID | |
130147 | Other | MI | CARE CHOICES |
GDS001605 | Other | MI | STATE LICENSE |
5631126 | Other | MA | BLUE CROSS BLUE SHIELD |
U43179 | Other | MI | HAP |
297370213 | Medicaid | MI | |
4778520001 | Other | DME ADMINISTAR FEDERAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | GDS001605 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
G. Daniel Shanahan Iv Dpm Pc | 2961306105 | 2 |
Provider Name | G. Daniel Shanahan Iv Dpm Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053417816 PECOS PAC ID: 2961306105 Enrollment ID: O20031120000529 |
Mailing Address | Practice Location Address |
---|---|
Dr George Daniel Shanahan Iv, DPM 9640 Commerce Rd Ste 102, Commerce Twp, MI 48382-4167 Ph: (248) 360-3888 | Dr George Daniel Shanahan Iv, DPM 9640 Commerce Rd Ste 102, Commerce Twp, MI 48382-4167 Ph: (248) 360-3888 |
G. Daniel Shanahan Iv Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 9640 Commerce Rd Ste 102, Commerce Twp, MI 48382 Phone: 248-360-3888 Fax: 248-363-0894 | |
Dr. Steven Michael Zavinsky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr, Rsc @ Huron Valley Sinai Hospital, Commerce Twp, MI 48382 Phone: 248-937-4947 Fax: 248-937-5150 | |
Semma Podiatry Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Welch Rd, Suite 110, Commerce Twp, MI 48390 Phone: 786-503-5551 Fax: 786-364-1580 | |
Dr. Randy Semma, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1001 Welch Rd, Suite 110, Commerce Twp, MI 48390 Phone: 248-056-0177 Fax: 248-694-2102 | |
Jerry E Zayid Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 2559 Union Lake Rd, Commerce Twp, MI 48382 Phone: 248-245-3392 Fax: 248-363-8652 | |
Jeffery Levitt, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3406 Circle Dr, Commerce Twp, MI 48382 Phone: 248-342-0653 |