| Kenneth Mitchell | |
|
3800 Woodward Ave, Ste 812, Detroit, MI 48201-2061 | |
| (313) 831-9269 | |
| (313) 831-9274 |
| Full Name | Kenneth Mitchell |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3800 Woodward Ave, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669462602 | NPI | - | NPPES |
| KM001869 | Other | MI | BCBSM |
| 3507405 | Other | MOLINA | |
| 3507405 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901001869 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Mitchell 3800 Woodward Ave, Ste 812, Detroit, MI 48201-2061 Ph: (313) 831-9269 | Kenneth Mitchell 3800 Woodward Ave, Ste 812, Detroit, MI 48201-2061 Ph: (313) 831-9269 |
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 |