Allen Park Footcare Specialist Pllc
Podiatric
19250 Ecorse Rd, Allen Park
Michigan, 48101-2260
313-294-9700 313-294-9700
Allen Park Footcare Specialist Pllc is a Podiatric in Allen Park, Michigan. It is located at 19250 Ecorse Rd, Allen Park and it's customer support contact number is 313-294-9700. The authorized person of Allen Park Footcare Specialist Pllc is Dr. Brian E Homer, D.P.M, P.C. who is Owner of this DME and his contact number is 248-288-8900. Active license number of Allen Park Footcare Specialist Pllc is 5901001699 for Podiatric in Michigan. Allen Park Footcare Specialist Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Allen Park Footcare Specialist Pllc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Allen Park Footcare Specialist Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Allen Park Footcare Specialist Pllc |
| Type: | Podiatric |
| Location: | 19250 Ecorse Rd, Allen Park,
Michigan, 48101-2260 |
| Phone: | 313-294-9700 |
| Fax: | 313-294-9700 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Brian E Homer |
| Credentials: | D.P.M, P.C. |
| Position: | Owner |
| Contact Number: | 248-288-8900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1790883056 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 09 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Allen Park Footcare Specialist Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatric | 5901001699 | Michigan | Primary | |
| Durable Medical Equipment & Medical Supplies | 5901001699 | Michigan | Secondary | |
| Prosthetic/orthotic Supplier | 5901001699 | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 133153308 | Medicaid | Michigan | |
| 4319060001 | Other | Michigan | Medicare Dme |
| 0H20650 | Other | Michigan | Bcbsmi Dme |
| P00102057 | Other | Michigan | Railroad Medicare |
| 0H218370 | Other | Michigan | Bcbsmi |
Medicare Enrollment:
Allen Park Footcare Specialist Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5799742110 | O20041216000576 | Allen Park Footcare Specialist Pllc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 5799742110 | O20100930066617 | Allen Park Footcare Specialist Pllc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Products Available:
Allen Park Footcare Specialist Pllc has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Dynamic Splints |
| • Negative Pressure Wound Therapy Pumps & Supplies | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Osteogenesis Stimulators | • Surgical Dressings |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 19250 Ecorse Rd,
Allen Park, Michigan |
| Zip: | 48101-2260 |
| Phone Number: | 313-294-9700 |
| Fax Number: | 313-294-9700 |
Patients can reach Allen Park Footcare Specialist Pllc at
19250 Ecorse Rd, Allen Park, Michigan or can
call on customer care at 313-294-9700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.