| Great Lakes Podiatry Pllc | |
|
126 S 25th St, Suite A, Escanaba, MI 49829-1364 | |
| (906) 786-2385 | |
| (906) 789-4445 |
| Full Name | Great Lakes Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 126 S 25th St, Escanaba, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225079932 | NPI | - | NPPES |
| 4729159 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (Michigan) | Primary |
| Provider Name | Dennis W Leveille |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982696209 PECOS PAC ID: 5991777153 Enrollment ID: I20050110000225 |
| Provider Name | Rachelle Lynn Leveille |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629631965 PECOS PAC ID: 7618202177 Enrollment ID: I20220422000781 |
| Provider Name | Jake Daniel Eisenschink |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194286997 PECOS PAC ID: 9638407455 Enrollment ID: I20220503000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Podiatry Pllc 126 S 25th St, Suite A, Escanaba, MI 49829-1364 Ph: (906) 786-2385 | Great Lakes Podiatry Pllc 126 S 25th St, Suite A, Escanaba, MI 49829-1364 Ph: (906) 786-2385 |
Rachelle Lynn Leveille, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 126 S 25th St Ste A, Escanaba, MI 49829 Phone: 906-786-2385 | |
Dr. Dennis W Leveille, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 126 S 25th St, Suite A, Escanaba, MI 49829 Phone: 906-786-2385 Fax: 906-789-4445 |