Pinole Podiatry Group Inc is a medicare enrolled "Podiatrist" provider in Pinole, California. Their current practice location is
2150 Appian Way Ste 206, Pinole, California. You can reach out to their office (for appointments etc.) via phone at
(510) 724-1530.
Pinole Podiatry Group Inc is licensed to practice in California (license number E4413) and it also participates in the medicare program. Pinole Podiatry 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 1609129881.
Healthcare Provider's Profile
Full Name | Pinole Podiatry Group Inc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 2150 Appian Way Ste 206, Pinole, 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: 1609129881
- Provider Enumeration Date: 10/25/2012
- Last Update Date: 05/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618120809
- Enrollment ID: O20130122000438
Medical Identifiers
Medical identifiers for Pinole Podiatry Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609129881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | E4413 (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.
Pinole Podiatry Group Inc acts as a billing entity for following providers:
Provider Name | Michael Grimes |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1275500720 PECOS PAC ID: 0143295923 Enrollment ID: I20040826000929 |
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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. Pinole Podiatry 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 |
Pinole Podiatry Group Inc 2150 Appian Way Ste 206, Pinole, CA 94564-2520 Ph: (510) 724-1530 | Pinole Podiatry Group Inc 2150 Appian Way Ste 206, Pinole, CA 94564-2520 Ph: (510) 724-1530 |
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