Clawson Footcare Specialists PC
Organization Active NPI Podiatric Clinic/Center · Clawson, MI
NPI 1215029418 · NPPES record last updated Nov 13, 2012
Key facts
- NPI
- 1215029418
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatric Clinic/Center 261QP1100X
- License
- 5901001699 (MI)
- Legal business name
- CLAWSON FOOTCARE SPECIALISTS PC
- Practice address
- 615 W 14 Mile Rd
Clawson, MI 48017-1901 - Phone
- (248) 288-8900
- Fax
- (248) 288-8989
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian E Homer, D.P.M, P.C.
- Title
- Owner
- Phone
- (248) 288-8900
Practitioners 3
-
Brian Eric Homer, D.P.M
-
Scott Homer, DPM
-
Brian Scott Dressler, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930079020 | MI | DME Supplier - Physician - Podiatry | 3274654520 | Practice locations: Clawson, MI |
| O20121113000610 | MI | Part B Supplier - Clinic/Group Practice | 3274654520 |
Receives reassigned benefits from 2 practitioners Practice locations: Clawson, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | 5901001699 | MI | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5901001699 | MI | |
| Prosthetic/Orthotic Supplier | 335E00000X | 5901001699 | MI |
Addresses
Primary practice location
615 W 14 Mile Rd
Clawson, MI 48017-1901
Mailing address
615 W. 14 Mile Road
Clawson, MI 48017-1901
Phone (248) 288-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133153308 | Medicaid | MI | |
| 480018640 | Other | MI | RAILROAD MEDICARE |
| 0F383890 | Other | MI | BCBSMI DME |
| 1283450001 | Other | MI | MEDICARE DME |
| 0F31808 | Other | MI | BCBSMI |
Other names
- Brian E. Homer
Other providers in Clawson, MI
- Smita S Chavan
- Chiropractic Services PLLC
- Clawson Care Pharmacy LLC
- Clawson Care Pharmacy LLC
- Clawson Family Dental, PLLC
- Clawson Health Management and Services
- Clawson Internist PC
- Clawson Medical Center PLLC
- Clawson Opco LLC
- Sheila Marie Clay
All providers in Clawson, MI · Podiatric Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.