| Capital Foot & Ankle Care Centre Pa | |
|
22325 Greenview Pkwy, Great Mills, MD 20634-3491 | |
| (301) 862-3338 | |
| (301) 862-3335 |
| Full Name | Capital Foot & Ankle Care Centre Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 22325 Greenview Pkwy, Great Mills, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053320580 | NPI | - | NPPES |
| KS57 | Other | MD | BC/BS OF MD |
| 231309100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | N/A (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | 01346 (Maryland) | Secondary |
| Provider Name | Robert Lewis Vanfosson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194734780 PECOS PAC ID: 4082650908 Enrollment ID: I20050630000889 |
| Provider Name | Douglas Hallgren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336158955 PECOS PAC ID: 4486691136 Enrollment ID: I20101202000276 |
| Provider Name | David R Hatch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023410008 PECOS PAC ID: 4981947561 Enrollment ID: I20190522002649 |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Foot & Ankle Care Centre Pa Po Box 1310, California, MD 20619-1310 Ph: (301) 862-3338 | Capital Foot & Ankle Care Centre Pa 22325 Greenview Pkwy, Great Mills, MD 20634-3491 Ph: (301) 862-3338 |
Dr. Robert L Vanfosson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22325 Greenview Pkwy, Great Mills, MD 20634 Phone: 301-862-3338 Fax: 301-862-3335 | |
Dr. Douglas H Hallgren, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 22325 Greenview Pkwy, Great Mills, MD 20634 Phone: 301-862-3338 Fax: 301-862-3335 | |
Dr. Royden J Stanford, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 22325 Greenview Pkwy Unit 1a, Great Mills, MD 20634 Phone: 301-862-3338 |