| Advanced Foot & Ankle Center, Llc | |
|
9 Airport Rd, Blackfoot, ID 83221-1702 | |
| (208) 785-6700 | |
| (208) 785-6767 |
| Full Name | Advanced Foot & Ankle Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 9 Airport Rd, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285947705 | NPI | - | NPPES |
| 480034721 | Other | ID | MEDICARE RAILROAD |
| 804309300 | Medicaid | ID | |
| P1571 | Other | ID | BLUE CROSS |
| 000010015672 | Other | ID | BLUE SHIELD |
| 341488 | Other | ID | DMBA |
| 461973001 | Other | ID | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | P156 (Idaho) | Primary |
| Provider Name | Douglas S Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932106713 PECOS PAC ID: 3971636473 Enrollment ID: I20100811000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Foot & Ankle Center, Llc 9 Airport Rd, Blackfoot, ID 83221-1702 Ph: (208) 785-6700 | Advanced Foot & Ankle Center, Llc 9 Airport Rd, Blackfoot, ID 83221-1702 Ph: (208) 785-6700 |
Dan Earl Robinson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-690-0394 | |
Parkway Foot & Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 1495 Parkway Dr, Suite B, Blackfoot, ID 83221 Phone: 208-785-2555 Fax: 208-785-9952 | |
Darin Gambles, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1495 Parkway Dr, Ste B, Blackfoot, ID 83221 Phone: 208-785-2555 Fax: 208-785-9952 | |
Douglas Stanley Williams, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9 Airport Rd, Blackfoot, ID 83221 Phone: 208-785-6700 Fax: 208-785-6767 |