| South Lyon Foot & Ankle Specialists, P.c. | |
|
22245 Pontiac Trl, South Lyon, MI 48178-1639 | |
| (248) 486-8886 | |
| (248) 486-8887 |
| Full Name | South Lyon Foot & Ankle Specialists, P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 22245 Pontiac Trl, South Lyon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003809682 | NPI | - | NPPES |
| 4856311830 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (Michigan) | Primary |
| Provider Name | Anthony M Mastrogiacomo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720055387 PECOS PAC ID: 4183696966 Enrollment ID: I20040811001062 |
| Provider Name | Meaghan Stoinski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639582851 PECOS PAC ID: 5991095994 Enrollment ID: I20171219002134 |
| Mailing Address | Practice Location Address |
|---|---|
| South Lyon Foot & Ankle Specialists, P.c. 22245 Pontiac Trl, South Lyon, MI 48178-1639 Ph: (248) 486-8886 | South Lyon Foot & Ankle Specialists, P.c. 22245 Pontiac Trl, South Lyon, MI 48178-1639 Ph: (248) 486-8886 |
Baril Foot & Ankle Care, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26012 Pontiac Trl, South Lyon, MI 48178 Phone: 248-278-6133 Fax: 248-278-6177 | |
Dr. Raymond H. Durussel, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 13650 10 Mile Rd, South Lyon, MI 48178 Phone: 248-486-1177 Fax: 248-486-5575 | |
Dr. Rebecca Anne Baril, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26012 Pontiac Trl, South Lyon, MI 48178 Phone: 248-278-6133 | |
Dr. Anthony Marc Mastrogiacomo, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22245 Pontiac Trl, South Lyon, MI 48178 Phone: 248-486-8886 Fax: 248-486-8887 |