| Kevin E Till Dpm Pc | |
|
4160 John R St, Ste 1012, Detroit, MI 48201-2020 | |
| (313) 831-6442 | |
| (313) 831-6513 |
| Full Name | Kevin E Till Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 4160 John R St, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164592820 | NPI | - | NPPES |
| 133113886 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 5901001067 (Michigan) | Primary |
| Provider Name | Kevin E Till |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467522110 PECOS PAC ID: 9739377037 Enrollment ID: I20110103000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin E Till Dpm Pc 4160 John R St, Ste 1012, Detroit, MI 48201-2020 Ph: (313) 831-6442 | Kevin E Till Dpm Pc 4160 John R St, Ste 1012, Detroit, MI 48201-2020 Ph: (313) 831-6442 |
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 | |
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: Medicare Enrolled Practice Location: 7633 E. Jefferson, Suite 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
Highland Park Foot Clinic 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 |