| Michael Mitry, DPM | |
|
1410 Highland Ave Ste 204, Needham, MA 02492-4460 | |
| (781) 444-4044 | |
| (781) 444-5044 |
| Full Name | Michael Mitry |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 15 Years |
| Location | 1410 Highland Ave Ste 204, Needham, Massachusetts |
| 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 |
|---|---|---|---|
| 1700193406 | NPI | - | NPPES |
| 110103207A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2384 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Brigham And Women's Hospital | Boston, MA | Hospital |
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shenouda Corp | 7113236399 | 2 |
| Provider Name | Shenouda Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386036275 PECOS PAC ID: 7113236399 Enrollment ID: O20151029001449 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mitry, DPM 1410 Highland Ave, Ste 204, Needham, MA 02492-2617 Ph: (781) 444-4044 | Michael Mitry, DPM 1410 Highland Ave Ste 204, Needham, MA 02492-4460 Ph: (781) 444-4044 |
Richard W. Cullen, Dpm, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 300 Chestnut St, Needham, MA 02492 Phone: 781-444-2496 Fax: 781-444-4961 | |
Needham Podiatry P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 464 Hillside Ave Ste 302, Needham, MA 02494 Phone: 781-444-1129 Fax: 781-444-3666 | |
Needham Foot Doctors, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 464 Hillside Ave Ste 302, Needham, MA 02494 Phone: 781-444-1129 Fax: 781-444-3666 | |
Shenouda Corp Podiatrist Medicare: Medicare Enrolled Practice Location: 1410 Highland Ave Ste 204, Needham, MA 02492 Phone: 781-444-4044 Fax: 781-444-5044 | |
Dr. Daniel M. Rutowicz, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 464 Hillside Ave Ste 302, Needham, MA 02494 Phone: 781-444-1129 Fax: 718-444-3666 | |
Dr. Alan Edward Clayman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 616 Great Plain Ave, Needham, MA 02492 Phone: 781-235-2025 |