| Blake Varghese, | |
|
5403 Normandy St, Weston, WI 54476-2217 | |
| (715) 241-8100 | |
| (715) 241-8102 |
| Full Name | Blake Varghese |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 5403 Normandy St, Weston, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598392011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1300-25 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Foot And Ankle Clinic Llc | 3072514876 | 7 |
| Provider Name | Family Foot And Ankle Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659439321 PECOS PAC ID: 3072514876 Enrollment ID: O20070122000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Varghese, 5403 Normandy St, Weston, WI 54476-2217 Ph: () - | Blake Varghese, 5403 Normandy St, Weston, WI 54476-2217 Ph: (715) 241-8100 |
Dr. Joel J Tikalsky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2405 Schofield Ave Ste 110, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102 | |
Mark W Thomas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2405 Schofield Ave, Suite 110, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102 | |
Kerry S Dernbach, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3501 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-1000 | |
Allison Fischer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5403 Normandy St, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102 | |
Family Foot And Ankle Clinic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 5403 Normandy St, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102 |