Carson Foot Clinic A Podiatrist Group Inc is a medicare enrolled "Podiatrist" provider in Carson, California. Their current practice location is
500 E Carson St, Ste 112, Carson, California. You can reach out to their office (for appointments etc.) via phone at
(310) 518-3972.
Carson Foot Clinic A Podiatrist Group Inc is licensed to practice in California (license number E2351) and it also participates in the medicare program. Carson Foot Clinic A Podiatrist Group Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154315034.
Healthcare Provider's Profile
Full Name | Carson Foot Clinic A Podiatrist Group Inc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 500 E Carson St, Carson, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154315034
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557493509
- Enrollment ID: O20100709000760
Medical Identifiers
Medical identifiers for Carson Foot Clinic A Podiatrist Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154315034 | NPI | - | NPPES |
000E23510 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | E2351 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Carson Foot Clinic A Podiatrist Group Inc acts as a billing entity for following providers:
Provider Name | Buu Kim Wong |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1306980107 PECOS PAC ID: 2466584412 Enrollment ID: I20100709000778 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carson Foot Clinic A Podiatrist Group Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carson Foot Clinic A Podiatrist Group Inc 500 E Carson St, Ste 112, Carson, CA 90745-2713 Ph: (310) 518-3972 | Carson Foot Clinic A Podiatrist Group Inc 500 E Carson St, Ste 112, Carson, CA 90745-2713 Ph: (310) 518-3972 |
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