| Back Office Management Services Llc | |
| 
					1043 Brooklyn Blvd, Berea, KY 40403-1090  | |
| (718) 972-5000 | |
| Not Available | 
| Full Name | Back Office Management Services Llc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 1043 Brooklyn Blvd, Berea, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336652585 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary | 
| Provider Name | Daryl Kinshasa Jenkins | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1245215318 PECOS PAC ID: 0042280935 Enrollment ID: I20090327000386  | 
| Provider Name | Christian E Ball | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1811421076 PECOS PAC ID: 3274872049 Enrollment ID: I20190222002063  | 
| Provider Name | Jeffery John Vanyperen | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1942525738 PECOS PAC ID: 8820250954 Enrollment ID: I20230928001482  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Back Office Management Services Llc 2802 Avenue P, Brooklyn, NY 11229-1810 Ph: () -  | Back Office Management Services Llc 1043 Brooklyn Blvd, Berea, KY 40403-1090 Ph: (718) 972-5000  | 
Lexington Foot & Ankle Center Psc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 202 Kidd Dr, Suite 1, Berea, KY 40403 Phone: 859-278-8855 Fax: 859-278-8856  |