| Dr Paul T Fortin, MD | |
|
30575 Woodward Ave, Royal Oak, MI 48073-0980 | |
| (248) 280-8550 | |
| (844) 266-0093 |
| Full Name | Dr Paul T Fortin |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 40 Years |
| Location | 30575 Woodward Ave, Royal Oak, 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 |
|---|---|---|---|
| 1780688283 | NPI | - | NPPES |
| 4459545 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301056888 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Residential Home Health | Troy, MI | Home health agency |
| Residential Home Health And Hospice | Lapeer, MI | Home health agency |
| Beaumont Home Health | Madison heights, MI | Home health agency |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Orthopaedic Surgeons Pllc | 7810277811 | 125 |
| Entity Name | Michigan Orthopaedic Surgeons Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306394309 PECOS PAC ID: 7810277811 Enrollment ID: O20161208002428 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul T Fortin, MD 26211 Central Park Blvd Ste 201, Southfield, MI 48076-4158 Ph: (833) 667-3627 | Dr Paul T Fortin, MD 30575 Woodward Ave, Royal Oak, MI 48073-0980 Ph: (248) 280-8550 |
Dr. David M Montgomery, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 30575 Woodward Ave, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 248-280-8567 | |
Justin Taylor Deslaurier, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Dr. Mark Edward Jacobson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30575 Woodward Ave Ste 100, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 844-266-0093 | |
Robert Scott Dean, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Jacob Kasper, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Kaleb Howard, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Connor James Burrows, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-1852 |