| Ankle & Foot Associates Of Northern Michigan Pc | |
|
408 Lake St, Roscommon, MI 48653-7663 | |
| (989) 275-3668 | |
| Not Available |
| Full Name | Ankle & Foot Associates Of Northern Michigan Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 408 Lake St, Roscommon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003943861 | NPI | - | NPPES |
| 480G210210 | Other | MI | BCBS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901002144 (Michigan) | Primary |
| Provider Name | Tracy M Bacik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023052081 PECOS PAC ID: 8628081494 Enrollment ID: I20060720000291 |
| Provider Name | Brian M Brausa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659411619 PECOS PAC ID: 1355447210 Enrollment ID: I20070509000669 |
| Mailing Address | Practice Location Address |
|---|---|
| Ankle & Foot Associates Of Northern Michigan Pc 408 Lake Street, P.o. Box 949, Roscommon, MI 48653 Ph: (989) 275-3668 | Ankle & Foot Associates Of Northern Michigan Pc 408 Lake St, Roscommon, MI 48653-7663 Ph: (989) 275-3668 |
Dr. Tracy Marie Bacik, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 408 Lake St, Roscommon, MI 48653 Phone: 989-275-3668 Fax: 989-275-3338 | |
Dr. Brian M Brausa, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 408 Lake St, Roscommon, MI 48653 Phone: 989-275-3668 |