Mr Derek Robert Tesoro, DPM | |
5400 Mackinaw, Suite 2100, Saginaw, MI 48604-9549 | |
(989) 790-4662 | |
(989) 790-7680 |
Full Name | Mr Derek Robert Tesoro |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 36 Years |
Location | 5400 Mackinaw, Saginaw, Michigan |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891873022 | NPI | - | NPPES |
3173006 | Medicaid | MI | |
480019411 | Other | MEDICARE RAILROAD | |
4857311150 | Other | BLUE CROSS | |
11290415 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | DT001450 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Covenant Medical Center | Saginaw, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saginaw Valley Foot And Ankle Center | 4385765130 | 2 |
Provider Name | Saginaw Valley Foot & Ankle Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871778647 PECOS PAC ID: 4385765130 Enrollment ID: O20220517000386 |
Mailing Address | Practice Location Address |
---|---|
Mr Derek Robert Tesoro, DPM 5400 Mackinaw, Suite 2100, Saginaw, MI 48604-9549 Ph: (989) 790-4662 | Mr Derek Robert Tesoro, DPM 5400 Mackinaw, Suite 2100, Saginaw, MI 48604-9549 Ph: (989) 790-4662 |
Dr. Mckenzie Jo Schlangen, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1000 Houghton Ave, Saginaw, MI 48602 Phone: 989-746-7500 | |
Carlyn M Hinish, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4677 Towne Centre Rd Fl 2, Saginaw, MI 48604 Phone: 989-790-6719 Fax: 989-790-9464 | |
Jacob Adam Stricker, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1000 Houghton Ave, Saginaw, MI 48602 Phone: 989-746-7618 | |
Dr. Nhan L Tran, DPM MBS Podiatrist Medicare: Medicare Enrolled Practice Location: 1000 Houghton Ave, Saginaw, MI 48602 Phone: 989-746-7618 | |
Mr. Mark Jeffrey Bullock, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5483 Gratiot Rd, Saginaw, MI 48638 Phone: 989-583-5626 Fax: 989-583-1837 | |
Dr. Taylor Lilamia Tesoro-fila, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 5400 Mackinaw Rd Ste 2100, Saginaw, MI 48604 Phone: 989-790-4662 | |
Zachary Pierson, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1000 Houghton Ave, Saginaw, MI 48602 Phone: 989-746-7618 |