| Todd James Frush, MD | |
|
210 N Lafayette St, South Lyon, MI 48178-2048 | |
| (248) 465-5140 | |
| (248) 465-5141 |
| Full Name | Todd James Frush |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 23 Years |
| Location | 210 N Lafayette St, South Lyon, 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 |
|---|---|---|---|
| 1427264910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301080392 (Michigan) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 4301080392 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Michigan | 0648180406 | 186 |
| Ascension Providence Hospital | 6103738703 | 290 |
| Entity Name | Ascension Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047 |
| Entity Name | The Porretta Center For Orthopaedic Surgery, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306818331 PECOS PAC ID: 2860585544 Enrollment ID: O20070911000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd James Frush, MD 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 Ph: (248) 465-5140 | Todd James Frush, MD 210 N Lafayette St, South Lyon, MI 48178-2048 Ph: (248) 465-5140 |
Dr. Diana Rebecca Silas, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-465-5140 Fax: 248-465-5141 |