| Dr Charles Marvin Johnson, DPM | |
|
10244 W 7 Mile Rd, Detroit, MI 48221-1904 | |
| (313) 862-5800 | |
| (313) 862-2865 |
| Full Name | Dr Charles Marvin Johnson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 41 Years |
| Location | 10244 W 7 Mile Rd, Detroit, 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 |
|---|---|---|---|
| 1245327543 | NPI | - | NPPES |
| CJ001211 | Other | MI | LICENSE NUMBER |
| 480H232610 | Other | MI | BLUE CROSS |
| 4866541 | Medicaid | MI | |
| 4858250260 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 5901001211 (Michigan) | Primary |
| Provider Name | Charles M Johnson Podiatrist Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902955560 PECOS PAC ID: 6002901741 Enrollment ID: O20070926000946 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Marvin Johnson, DPM 10244 W 7 Mile Rd, Detroit, MI 48221-1904 Ph: (313) 862-5800 | Dr Charles Marvin Johnson, DPM 10244 W 7 Mile Rd, Detroit, MI 48221-1904 Ph: (313) 862-5800 |
Bazzi Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 7633 E Jefferson Ave, Suite 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
Andrew Richard Mastay, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 27799 West Grand Blvd, Detroit, MI 48202 Phone: 313-916-2181 | |
Eric J. Foreman, Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18254 Livernois Ave Ste 2, Detroit, MI 48221 Phone: 248-646-6882 | |
Henry Ford Health System Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Herbert Bircoll, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7633 E. Jefferson, Suite 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
Hpfc Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18460 Revere St, Detroit, MI 48234 Phone: 313-865-4400 Fax: 313-865-4400 | |
Dr. Mohammed Bazzi, D.P.M Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 7633 E Jefferson Ave, Ste 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 |