| Louis J Geller Dpm Pc | |
|
28460 Southfield Rd, Lathrup Village, MI 48076-2820 | |
| (248) 353-0096 | |
| (248) 809-6255 |
| Full Name | Louis J Geller Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 28460 Southfield Rd, Lathrup Village, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982714903 | NPI | - | NPPES |
| 4627620001 | Other | MI | DMERC LICENSE NUMBER |
| ON53230 | Medicaid | MI | |
| 101026 | Other | MI | GREAT LAKES HEALTH PLAN |
| 2430677 | Other | MI | CIGNA |
| 4856352050 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 4431259 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 0524 (Arizona) | Secondary |
| 213E00000X | Podiatrist | 5901001926 (Michigan) | Primary |
| Provider Name | Louis J Geller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134100720 PECOS PAC ID: 0749189421 Enrollment ID: I20031231000570 |
| Provider Name | Michael W Krupic |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093754244 PECOS PAC ID: 6002884533 Enrollment ID: I20040924000980 |
| Provider Name | Aadil M Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982055018 PECOS PAC ID: 9234424417 Enrollment ID: I20190912001503 |
| Provider Name | Cody R Ingram |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154828689 PECOS PAC ID: 4486901626 Enrollment ID: I20210728003011 |
| Provider Name | Muhammad Daniyal Burhan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154985356 PECOS PAC ID: 6709265812 Enrollment ID: I20220621001513 |
| Provider Name | Joshua Alex Stewart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740749548 PECOS PAC ID: 1153652441 Enrollment ID: I20231104000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis J Geller Dpm Pc 25841 Pembroke Rd, Huntington Woods, MI 48070-1621 Ph: (248) 353-0096 | Louis J Geller Dpm Pc 28460 Southfield Rd, Lathrup Village, MI 48076-2820 Ph: (248) 353-0096 |
Dr. Louis Jeremy Geller, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28460 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-353-0096 Fax: 248-809-6255 | |
Joshua Alex Stewart, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28460 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-353-0096 | |
Aadil Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28460 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-353-0096 Fax: 248-809-6255 |