East Side Foot & Ankle Clinic Pc
Foot & Ankle Surgery
22301 Greater Mack Ave, Suite 3, Saint Clair Shores
Michigan, 48080-2376
586-776-7000 586-776-7003
East Side Foot & Ankle Clinic Pc is a Foot & Ankle Surgery in Saint Clair Shores, Michigan. It is located at 22301 Greater Mack Ave, Suite 3, Saint Clair Shores and it's customer support contact number is 586-776-7000. The authorized person of East Side Foot & Ankle Clinic Pc is Dr. David Berlin, D.P.M. who is Owner of this DME and his contact number is 586-776-7000. Active license number of East Side Foot & Ankle Clinic Pc is 5901001005 for Foot & Ankle Surgery in Michigan. East Side Foot & Ankle Clinic Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
East Side Foot & Ankle Clinic Pc 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:
East Side Foot & Ankle Clinic Pc 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: | East Side Foot & Ankle Clinic Pc |
| Type: | Foot & Ankle Surgery |
| Location: | 22301 Greater Mack Ave, Suite 3, Saint Clair Shores,
Michigan, 48080-2376 |
| Phone: | 586-776-7000 |
| Fax: | 586-776-7003 |
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. David Berlin |
| Credentials: | D.P.M. |
| Position: | Owner |
| Contact Number: | 586-776-7000 |
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: | 1801910229 |
| NPI Enumeration Date: | 19 Mar, 2007 |
| NPI Last Update On: | 30 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Side Foot & Ankle Clinic Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Foot & Ankle Surgery | 5901001005 | Michigan | Primary | |
| Customized Equipment | 5901001005 | 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 |
| 2926711 | Medicaid | Michigan | |
| 89594B | Other | Michigan | Hap |
| 480014028 | Other | Michigan | Railroad Medicare Ptan |
| 0005335144 | Other | Michigan | Aetna |
| 0Q24605 | Other | Michigan | Bluecross Pin |
Medicare Enrollment:
East Side Foot & Ankle Clinic Pc 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 |
| 3971614421 | O20110714000325 | East Side Foot & Ankle Clinic Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 22301 Greater Mack Ave, Suite 3
Saint Clair Shores, Michigan |
| Zip: | 48080-2376 |
| Phone Number: | 586-776-7000 |
| Fax Number: | 586-776-7003 |
Patients can reach East Side Foot & Ankle Clinic Pc at
22301 Greater Mack Ave, Suite 3, Saint Clair Shores, Michigan or can
call on customer care at 586-776-7000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.