| Thomas E. Jacob, D.p.m., P.c. | |
|
23700 Gratiot Ave, Eastpointe, MI 48021-1647 | |
| (586) 779-1160 | |
| (586) 779-1163 |
| Full Name | Thomas E. Jacob, D.p.m., P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 23700 Gratiot Ave, Eastpointe, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659369031 | NPI | - | NPPES |
| 000000002745 | Other | MI | CAPE HEALTH PLAN |
| 1014915-0001 | Other | MI | WELLNESS PLAN |
| 121471 | Other | MI | CARE CHOICE HMO |
| 0737520001 | Other | MI | DME MEDICARE |
| 101301 | Other | MI | GREAT LAKES HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 59010000499 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E. Jacob, D.p.m., P.c. 23700 Gratiot Ave, Eastpointe, MI 48021-1647 Ph: (586) 779-1160 | Thomas E. Jacob, D.p.m., P.c. 23700 Gratiot Ave, Eastpointe, MI 48021-1647 Ph: (586) 779-1160 |
Mrs. Trina Mary Russo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 20967 Kelly Rd, Eastpointe, MI 48021 Phone: 586-779-8600 Fax: 586-779-2019 |
Syed M Ghani, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 23700 Gratiot Ave, Eastpointe, MI 48021 Phone: 586-779-1160 Fax: 586-779-1163 |
Peter M. Torrice Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 20967 Kelly Rd, Eastpointe, MI 48021 Phone: 586-779-8600 Fax: 586-779-2019 |
None Podiatrist Medicare: Medicare Enrolled Practice Location: 23700 Gratiot Ave, Eastpointe, MI 48021 Phone: 586-779-1160 Fax: 586-779-1163 |
Residential Podiatry Services Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 20927 Kelly Rd, Eastpointe, MI 48021 Phone: 586-777-8801 Fax: 586-777-9988 |
Dr. Stephen James Palajac, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 20927 Kelly Rd, Eastpointe, MI 48021 Phone: 586-777-8801 |
Dr. Charles M Khalil, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 22770 Kelly Rd, #3, Eastpointe, MI 48021 Phone: 586-447-4900 Fax: 586-447-0024 |