| Active Podiatry Pc | |
|
1910 Lafayette Rd, Crawfordsville, IN 47933-1037 | |
| (765) 362-7200 | |
| (765) 362-4870 |
| Full Name | Active Podiatry Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1910 Lafayette Rd, Crawfordsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730363748 | NPI | - | NPPES |
| 200178610 | Medicaid | IN | |
| 000000480680 | Other | IN | ANTHEM /BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 07000857A (Indiana) | Secondary |
| 213E00000X | Podiatrist | 07000857A (Indiana) | Primary |
| Provider Name | Yong S Chae |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215987870 PECOS PAC ID: 2860404936 Enrollment ID: I20060608000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Podiatry Pc 1910 Lafayette Rd, Crawfordsville, IN 47933-1037 Ph: (765) 362-7200 | Active Podiatry Pc 1910 Lafayette Rd, Crawfordsville, IN 47933-1037 Ph: (765) 362-7200 |
Dr. Yong S Chae, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1910 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-362-7200 Fax: 765-362-4870 | |
Active Podiatry P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1910 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-362-7200 Fax: 765-362-4870 | |
Apex Podiatry, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1720 Lafayette Rd Ste 3, Crawfordsville, IN 47933 Phone: 765-362-6233 | |
Central Indiana Podiatry, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1720 Lafayette Road, Suite 3, Crawfordsville, IN 47362 Phone: 765-362-6233 Fax: 765-362-8270 |