Advantage Foot and Ankle Specialists PLLC
Organization Active NPI Podiatrist · Ferndale, MI
NPI 1831730985 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1831730985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- ADVANTAGE FOOT AND ANKLE SPECIALISTS PLLC
- Practice address
- 3055 Hilton Rd Ste C
Ferndale, MI 48220-1096 - Phone
- (248) 965-2927
- Fax
- (248) 965-2912
- NPI assigned
- Sep 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Rachel M Gillespie, DPM
- Title
- Provider
- Phone
- (248) 965-2927
Practitioners 2
-
Samantha Gair Gibson, DPM
-
Rachel M Gillespie, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191203002975 | MI | Part B Supplier - Clinic/Group Practice | 2163855263 |
Receives reassigned benefits from 2 practitioners Practice locations: Ferndale, MI |
| O20200729004219 | MI | DME Supplier - Physician - Podiatry | 2163855263 | Practice locations: Ferndale, MI |
National Provider Directory
Locations
3055 Hilton Rd
Ste 3
Ferndale, MI 48220
Phone (248) 965-2927
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
3055 Hilton Rd Ste C
Ferndale, MI 48220-1096
Mailing address
3055 Hilton Rd Ste C
Ferndale, MI 48220-1096
Phone (248) 965-2927
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. 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.