Geller Foot Clinic | |
28460 Southfield Rd, Lathrup Village, MI 48076-2820 | |
(248) 353-0096 | |
(248) 809-6255 |
Full Name | Geller Foot Clinic |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 28460 Southfield Rd, Lathrup Village, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982714903 | NPI | - | NPPES |
4627620001 | Other | MI | DMERC LICENSE NUMBER |
ON53230 | Medicaid | MI | |
101026 | Other | MI | GREAT LAKES HEALTH PLAN |
2430677 | Other | MI | CIGNA |
4856352050 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
4431259 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 5901001926 (Michigan) | Primary |
213E00000X | Podiatrist | 0524 (Arizona) | Secondary |
Provider Name | Louis J Geller |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1134100720 PECOS PAC ID: 0749189421 Enrollment ID: I20031231000570 |
Provider Name | Michael W Krupic |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093754244 PECOS PAC ID: 6002884533 Enrollment ID: I20040924000980 |
Provider Name | Aadil M Patel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982055018 PECOS PAC ID: 9234424417 Enrollment ID: I20190912001503 |
Provider Name | Cody R Ingram |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154828689 PECOS PAC ID: 4486901626 Enrollment ID: I20210728003011 |
Provider Name | Muhammad Daniyal Burhan |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154985356 PECOS PAC ID: 6709265812 Enrollment ID: I20220621001513 |
Provider Name | Joshua Alex Stewart |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1740749548 PECOS PAC ID: 1153652441 Enrollment ID: I20231104000577 |
Mailing Address | Practice Location Address |
---|---|
Geller Foot Clinic 25841 Pembroke Rd, Huntington Woods, MI 48070-1621 Ph: (248) 353-0096 | Geller Foot Clinic 28460 Southfield Rd, Lathrup Village, MI 48076-2820 Ph: (248) 353-0096 |
Dr. Louis Jeremy Geller, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28460 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-353-0096 Fax: 248-809-6255 | |
Joshua Alex Stewart, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28460 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-353-0096 | |
Aadil Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28460 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-353-0096 Fax: 248-809-6255 |