| Jacqueline Phillips Dpm Inc | |
|
5575 Conner St, Suite 203, Detroit, MI 48213-6400 | |
| (313) 345-4449 | |
| Not Available |
| Full Name | Jacqueline Phillips Dpm Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 5575 Conner St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821027756 | NPI | - | NPPES |
| 480H232340 | Other | MI | BCBS PIN |
| 134313228 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 5901001422 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5901001422 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Phillips Dpm Inc 5575 Conner St, Suite 203, Detroit, MI 48213-6400 Ph: (313) 345-4449 | Jacqueline Phillips Dpm Inc 5575 Conner St, Suite 203, Detroit, MI 48213-6400 Ph: (313) 345-4449 |
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 |