| Advanced Foot & Ankle Clinic Llc | |
|
803 E School St, Owatonna, MN 55060-3112 | |
| (507) 451-5950 | |
| (507) 451-5514 |
| Full Name | Advanced Foot & Ankle Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 803 E School St, Owatonna, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033156906 | NPI | - | NPPES |
| 114357D102 | Other | MN | UCARE |
| 767042700 | Medicaid | MN | |
| 6B282RO | Other | MN | BLUE CROSS BLUE SHILED |
| 28485 | Other | MN | HEALTHPARTNERS |
| C07768 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Minnesota) | Primary |
| Provider Name | Andrew J Highum |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790732907 PECOS PAC ID: 7315982477 Enrollment ID: I20060221000350 |
| Provider Name | Barry Alexander Butler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275570814 PECOS PAC ID: 1557376035 Enrollment ID: I20060221000376 |
| Provider Name | Jason P Havey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528455284 PECOS PAC ID: 4789989948 Enrollment ID: I20180917000759 |
| Provider Name | Alexander Ralph Tokarski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700349719 PECOS PAC ID: 7315271855 Enrollment ID: I20230106001153 |
| Provider Name | Mark Magnus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710340724 PECOS PAC ID: 2264729128 Enrollment ID: I20240429001020 |
| Provider Name | Kelli Iceman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386008787 PECOS PAC ID: 7911294871 Enrollment ID: I20240429001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Foot & Ankle Clinic Llc 803 E School St, Owatonna, MN 55060-3112 Ph: (507) 451-5950 | Advanced Foot & Ankle Clinic Llc 803 E School St, Owatonna, MN 55060-3112 Ph: (507) 451-5950 |
Dr. Barry Alexander Butler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 803 E School St, Owatonna, MN 55060 Phone: 507-451-5950 Fax: 507-451-5514 | |
Alexander Ralph Tokarski, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 803 E School St, Owatonna, MN 55060 Phone: 608-782-7300 |