| Benedict P Pellerito, MD | |
|
24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080-3207 | |
| (586) 779-7970 | |
| (586) 779-7748 |
| Full Name | Benedict P Pellerito |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 33 Years |
| Location | 24715 Little Mack Ave, St Clair Shores, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780655969 | NPI | - | NPPES |
| 4327706 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301061624 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Custom Home Health | Troy, MI | Home health agency |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Orthopedists Of Detroit Pc | 3375440134 | 17 |
| Entity Name | Associated Orthopedists Of Detroit Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083686083 PECOS PAC ID: 3375440134 Enrollment ID: O20031218000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Benedict P Pellerito, MD 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 Ph: (586) 779-7970 | Benedict P Pellerito, MD 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080-3207 Ph: (586) 779-7970 |
Michael R. Demers, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 | |
Steven J. Cusick, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 | |
James D. Bookout, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 | |
Edward S. Jeffries, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 |