| Manisha Mehta, DPM | |
|
4160 John R St Ste 1011, Detroit, MI 48201-2017 | |
| (313) 833-3090 | |
| (313) 833-7843 |
| Full Name | Manisha Mehta |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 20 Years |
| Location | 4160 John R St Ste 1011, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417136029 | NPI | - | NPPES |
| 1316191679 | Medicaid | MI | |
| 1417136029 | Medicaid | MI | |
| 1891939682 | Other | MI | DME SUPPLIER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36. 003467 (Ohio) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 5901002275 (Michigan) | Primary |
| Provider Name | Gfc Of Southeastern Michigan Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316191679 PECOS PAC ID: 6507928504 Enrollment ID: O20081230000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Manisha Mehta, DPM 4160 John R St Ste 1011, Detroit, MI 48201-2017 Ph: (313) 833-3090 | Manisha Mehta, DPM 4160 John R St Ste 1011, Detroit, MI 48201-2017 Ph: (313) 833-3090 |
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 |