Dr Michael Bahlatzis, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" in Clewiston, Florida. He went to Kent State University College Of Podiatric Medicine and graduated in 1987 and has 39 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Shi Specialists Llc and his current practice location is
524 W Sagamore Ave, Clewiston, Florida. You can reach out to his office (for appointments etc.) via phone at
(863) 902-3032.
Dr Michael Bahlatzis is licensed to practice in Florida (license number PO4569) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700847217.
Provider's Profile
| Full Name | Dr Michael Bahlatzis |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 39 Years |
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| Location | 524 W Sagamore Ave, Clewiston, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Bahlatzis attended and graduated from Kent State University College Of Podiatric Medicine in 1987
NPI Data:
- NPI Number: 1700847217
- Provider Enumeration Date: 04/01/2006
- Last Update Date: 02/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557492097
- Enrollment ID: I20240719001171
Medical Identifiers
Medical identifiers for Dr Michael Bahlatzis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700847217 | NPI | - | NPPES |
| 01039909 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | PA9115963 (Florida) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO4569 (Florida) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | 004310 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shi Specialists Llc | 7911449558 | 48 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael Bahlatzis allows following entities to bill medicare on his behalf.
| Entity Name | Shi Specialists LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912761917
PECOS PAC ID: 7911449558
Enrollment ID: O20240626002309 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Bahlatzis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Michael Bahlatzis, DPM
9723 Blue Stone Cir,
Fort Myers, FL 33913-6722
Ph: (607) 215-3887 | Dr Michael Bahlatzis, DPM
524 W Sagamore Ave,
Clewiston, FL 33440-3514
Ph: (863) 902-3032 |
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