| Edward J Lis Jr, DO | |
|
6310 Sashabaw Rd, Suite A, Clarkston, MI 48346-2270 | |
| (248) 620-2325 | |
| (248) 620-2326 |
| Full Name | Edward J Lis Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 26 Years |
| Location | 6310 Sashabaw Rd, Clarkston, 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 |
|---|---|---|---|
| 1952371338 | NPI | - | NPPES |
| 4623098 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101014456 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suncare Home Health | Shelby township, MI | Home health agency |
| Genesys Regional Medical Center - Health Park | Grand blanc, MI | Hospital |
| Hurley Medical Center | Flint, MI | Hospital |
| Entity Name | Hurley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
| Entity Name | Edward J Lis Jr Do Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578086146 PECOS PAC ID: 1153694765 Enrollment ID: O20170901002201 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J Lis Jr, DO 6310 Sashabaw Rd, Suite A, Clarkston, MI 48346-2270 Ph: (248) 620-2325 | Edward J Lis Jr, DO 6310 Sashabaw Rd, Suite A, Clarkston, MI 48346-2270 Ph: (248) 620-2325 |
Paul C. Lewis, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6815 Dixie Hwy Ste 1, Clarkston, MI 48346 Phone: 248-384-8350 Fax: 248-384-8351 | |
Mithun Kotresh Neral, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6815 Dixie Hwy Ste 1, Clarkston, MI 48346 Phone: 248-384-8350 Fax: 248-384-8351 | |
Shivajee V Nallamothu, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346 Phone: 248-620-2325 Fax: 248-620-2326 | |
Dr. Matthew Carl Sardelli, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5680 Bow Pointe Dr Ste 102, Clarkston, MI 48346 Phone: 248-792-0037 |