Shores Podiatry Associates, P.c. | |
20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 | |
(586) 772-3500 | |
(586) 772-6540 |
Full Name | Shores Podiatry Associates, P.c. |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 20905 E 12 Mile Rd, Roseville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447204151 | NPI | - | NPPES |
0E07641 | Other | MI | BCBS |
CE4140 | Other | MI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (Michigan) | Primary |
Provider Name | Karen Potchynok-lund |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1215034871 PECOS PAC ID: 5698689974 Enrollment ID: I20031119000653 |
Provider Name | Bryan C West |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1407826241 PECOS PAC ID: 4688657794 Enrollment ID: I20040610000282 |
Provider Name | Michelle M Gilliatte |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1669454013 PECOS PAC ID: 7012997810 Enrollment ID: I20040722000614 |
Provider Name | Randy K Kaplan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649256991 PECOS PAC ID: 0941200075 Enrollment ID: I20070112000519 |
Provider Name | Andrew Richard Mastay |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093120297 PECOS PAC ID: 1759668064 Enrollment ID: I20170515000452 |
Provider Name | Indira Muharemovic |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609253541 PECOS PAC ID: 6901108174 Enrollment ID: I20180830001812 |
Provider Name | Danniyal Shahid |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1205333242 PECOS PAC ID: 6002164662 Enrollment ID: I20210603002230 |
Provider Name | Cody R Ingram |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154828689 PECOS PAC ID: 4486901626 Enrollment ID: I20210728003011 |
Mailing Address | Practice Location Address |
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Shores Podiatry Associates, P.c. 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 Ph: (586) 772-3500 | Shores Podiatry Associates, P.c. 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 Ph: (586) 772-3500 |
Andrew Richard Mastay, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 20905 E 12 Mile Rd Ste 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Dr. James M Mccarty, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 20905 E 12 Mile Rd, Ste 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Dr. Bryan C West, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-772-3500 Fax: 586-772-6540 | |
Advanced Foot & Ankle Center Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 25990 Kelly, Suite 4, Roseville, MI 48066 Phone: 586-771-3550 Fax: 586-771-0953 | |
Dr. John Montoni, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25990 Kelly Rd, Suite 4, Roseville, MI 48066 Phone: 586-771-3550 | |
Dr. Sebastian A Benenati, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25990 Kelly Road, Suite 4, Roseville, MI 48066 Phone: 586-771-3550 Fax: 586-771-0953 |