Avalon Physician Services Michigan [Visiting Doctors &

Quick answer: Avalon Physician Services Michigan Visiting Doctors Physicians affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Book online, or call (810) 206-1402.

✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

Avalon Physician Services Michigan Visiting Doctors & Physicians

Trusted Foot & Ankle Surgeons in Howell & Bloomfield Township, Michigan

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Avalon Physician Services Michigan

For more, come visit us at Avalon Physician Services. Get the BEST & MOST complete care in Michigan at home. Do you need the BEST medical care at home? Come work with Avalon Physician Services.

• Psoriasis is an immune disease & the cause is unknown.
• It is unfortunately a condition that you have to learn to live with for the rest of your life.
• Foot Psoriasis: The Prevention and Causes Guide to Psoriasis!

https://avalonphysicianservices.com Book Your Psoriasis Evaluation https://youtu.be/M7lSuLFejnY Providing the best options for visiting home physicians, visiting home doctors, visiting podiatrists, visiting dentists, visiting audiologists, and 1-hour caregiver check-ins. Avalon Physician Services include:

• Psychiatrist home doctor.
• Internal medicine home doctors.
• Family medicine home doctors.
• Podiatrist visiting home doctors.
• Audiologist home specialists.
• Dentist home specialists.
• Caregivers for home visits.

Get Relief & Support With Expert Care and Custom 3D Orthotic

Seniors with neuropathy often struggle with pain and balance. At Balance Foot & Ankle Specialist, we provide gentle evaluations, personalized treatment, and custom 3D orthotics to reduce pain and improve walking stability.

• Reduces pressure on sensitive nerves
• Improves balance to prevent falls
• Supports arches and joints for safer walking
• Supports arches and joints for safer walking
• Can slow neuropathy progression with early intervention

Book Your Neuropathy Evaluation (810) 206-1402

Trusted Footwear Recommendations From Michigan’s Leading Podiatrists

Dr. Tom Biernacki DPM (Podiatrist, Wound Care, Foot & Ankle Specialist)

Dr. Tom Biernacki, DPM, is a highly respected and experienced podiatrist proudly serving patients in Howell, Michigan, and throughout Oakland County. With a strong commitment to personalized patient care, Dr. Biernacki specializes in diagnosing and treating a many foot and ankle conditions, including chronic foot pain, sports injuries, diabetic foot care, and structural deformities. His practice offers comprehensive services such as routine foot care, advanced wound care, and both non-surgical and surgical solutions for complex issues affecting the lower extremities. Known for his compassionate approach and attention to detail, Dr. Biernacki works closely with each patient to create a customized treatment plan that ensures the best possible outcome.

Dr. Carl Jay DPM (Podiatric Surgeon & Foot Doctor)

Dr. Carl Jay is a board-certified foot and ankle surgeon and proud partner at Balance Foot & Ankle. After completing his residency at the Genesys Regional Medical Center program, he took his talents to Texas. There he covered trauma call, treated complex wounds in the Wound Care Center, and cared for a many patients in private practice, from diabetic limb preservation to sports medicine. Dr. Jay certainly enjoyed practicing in the Lone Star State. (I mean that amazing warm weather and sunshine.)Family brought him back to Michigan. Now serving the Detroit Metro area, Dr. Jay brings advanced treatment modalities and years of surgical and clinical experience to every patient encounter. He’s passionate about delivering expert, compassionate care that helps people move better and live better. Over 10,000 Patients Helped Advanced 3D Orthotic Scanning

Relief From Foot Psoriasis Starts With Expert Care

Get an accurate diagnosis, personalized treatment, and long-lasting relief from a trusted podiatrist. Schedule Your Appointment Call Us Today

Getting Expert Foot and Ankle Care in Michigan: Balance Foot & Ankle

Michigan patients with any foot or ankle concern — from chronic pain and structural deformity to wound care, nail problems, and sports injuries — can receive expert podiatric evaluation at Balance Foot & Ankle. Our fellowship-trained podiatric surgeons provide the full spectrum of podiatric care, combining conservative and surgical options tailored to each patient’s specific diagnosis, activity level, and treatment goals. We are in-network with major Michigan insurance plans including Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. Both of our Michigan offices — Howell at 4330 E Grand River (serving Livingston County) and Bloomfield Township at 43494 Woodward Ave #208 (serving Oakland County and northern Metro Detroit) — offer same-week new patient appointments, in-office digital X-ray, and dedicated parking. Michigan patients ready to address their foot or ankle problem can call (810) 206-1402 to schedule with Balance Foot & Ankle.

Michigan Podiatry: Connecting Whole-Body Health to Foot and Ankle Outcomes

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Related Treatment Guides

• Plantar Fasciitis & Heel Pain Treatment
• Custom 3D Orthotics
• Sports Foot & Ankle Injury Treatment
• Bunion Treatment

Foot and ankle health does not exist in isolation from the rest of the body — conditions including diabetes, peripheral arterial disease, obesity, rheumatoid arthritis, and gout have significant and direct effects on the foot. At Balance Foot & Ankle, we understand the intersection between systemic health and podiatric outcomes and coordinate with our patients’ primary care physicians, endocrinologists, rheumatologists, and vascular surgeons when managing complex conditions. Michigan patients managing chronic systemic conditions who have developed foot complications — neuropathy, circulatory insufficiency, inflammatory arthritis of the foot joints, or gout attacks — can receive coordinated podiatric care that integrates with their existing medical management. Our goal is to optimize foot function and prevent complications within the context of the patient’s overall health picture. Michigan patients with complex health histories affecting their foot and ankle health can call Balance Foot & Ankle at (810) 206-1402 to schedule at our Howell or Bloomfield Township office.

Medical References & Sources

• American Podiatric Medical Association — Patient Education
• American Orthopaedic Foot & Ankle Society — Foot Conditions

Get Expert Help at Balance Foot & Ankle

If this condition is affecting your daily activities or hasn’t improved with home treatment, schedule an evaluation with Dr. Tom Biernacki. We offer same-day appointments at our Howell and Bloomfield Township locations and accept most insurance including Medicare. Most patients are walking comfortably within 4-6 weeks of starting our protocol — conservative care first, surgery only when needed.

Call (810) 206-1402 or request an appointment online. Our team responds within 1 business hour during clinic days.

Visit Balance Foot & Ankle — Same-Day Appointments Available

Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.

More questions patients ask

What are visiting physician services and who qualifies for them?

Visiting physician services (also called housecall medicine or home-based primary care) bring physicians directly to patients in their homes, assisted living facilities, or nursing homes. Patients who qualify include those who are homebound — unable to leave home without considerable effort due to: severe mobility limitations, chronic illness, post-surgical recovery, advanced age with frailty, dementia, or respiratory conditions requiring constant oxygen. Medicare defines homebound as having a normal inability to leave home, and leaving requires a taxing effort. Balance Foot & Ankle in Howell (4330 E Grand River) and Bloomfield Township (43494 Woodward Ave #208) provides podiatric foot care and coordinates with visiting physician services for homebound patients — call (810) 206-1402.

Does Medicare cover visiting physician (house call) services?

Yes — Medicare Part B covers physician house calls when medically appropriate. The physician must document why office visits are not feasible. Medicare covers the same evaluation and management services in the home as in an office setting, just at a slightly different reimbursement rate. The Independence at Home demonstration project showed that home-based primary care for high-risk seniors reduces hospitalizations and costs. Coverage requires: Medicare Part B enrollment, medical necessity, and the physician accepting Medicare assignment. Foot care is frequently needed in homebound patients — Balance Foot & Ankle coordinates with home-based care programs in Howell and Bloomfield Township — call (810) 206-1402.

Can a podiatrist provide house call foot care services?

Yes — podiatrists can provide home visit foot care for qualifying homebound patients. Services available in-home include: diabetic foot examinations, toenail care and debridement, wound care and diabetic foot ulcer management, callus and corn removal, foot assessments for fall risk, and custom orthotic consultations. Medicare covers medically necessary podiatric services in the home setting for homebound patients with qualifying conditions. At Balance Foot & Ankle, Dr. Tom Biernacki DPM, Dr. Carl Jay DPM, and Dr. Daria Gutkin DPM provide comprehensive foot care and coordinate home-based services for qualifying patients in Howell and Bloomfield Township — call (810) 206-1402.

What foot conditions are most common in homebound patients?

Homebound patients have a high prevalence of foot problems including: onychomycosis (toenail fungus) affecting up to 75% of elderly homebound patients, ingrown toenails causing pain and infection risk, diabetic neuropathy with reduced protective sensation, peripheral arterial disease limiting foot healing, diabetic foot ulcers (the leading cause of non-traumatic amputation), pressure injuries on heels from prolonged bedrest, and severe calluses and corns from poor-fitting footwear. Untreated foot conditions in homebound patients escalate quickly — infection risk is high due to limited mobility and compromised circulation. Balance Foot & Ankle serves homebound patients — call (810) 206-1402.

How does foot care affect fall risk in elderly patients?

Foot problems are among the leading modifiable fall risk factors in the elderly: painful foot conditions alter gait and balance, thick or improperly trimmed toenails affect foot mechanics and toe clearance, peripheral neuropathy reduces protective sensation and proprioception, ill-fitting footwear is a primary fall risk, and foot deformities like bunions and hammertoes alter weight distribution. Research shows podiatric care combined with footwear advice and custom orthotics reduces fall rates by up to 36% in high-risk elderly patients. Fall prevention is central to senior care. Balance Foot & Ankle in Howell (4330 E Grand River) and Bloomfield Township (43494 Woodward Ave #208) provides fall-prevention-focused foot care — call (810) 206-1402.

Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.