Individual ProviderGeoffrey PrysakInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712(248) 898-7999PECOS EnrollmentBased on the most recent information from CMS, provider Geoffrey Prysak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1013147511Provider TypeIndividualFull NamePrysak, GeoffreyCredentialMD, MPHGenderMaleSole ProprietorNoEnumeration Date7/17/2009Last Updated7/19/2022Contact InformationPractice LocationPractice Address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712Phone(248) 898-7999FaxUnlisted FaxMailing LocationMailing Address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301094632Michigan