| Clay County Podiatry, Llc | |
|
955 W Craig Ave, Brazil, IN 47834-7400 | |
| (812) 448-9290 | |
| (812) 448-9296 |
| Full Name | Clay County Podiatry, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 955 W Craig Ave, Brazil, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972532125 | NPI | - | NPPES |
| 000000392910 | Other | IN | BLUECROSSBLUESHIELD |
| 0385202 | Other | IN | CIGNA |
| 200825350A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 07001015A (Indiana) | Primary |
| Provider Name | Miranda A Goodale |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003858762 PECOS PAC ID: 1759380116 Enrollment ID: I20061212000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Clay County Podiatry, Llc 955 W Craig Ave, Brazil, IN 47834-7400 Ph: (812) 448-9290 | Clay County Podiatry, Llc 955 W Craig Ave, Brazil, IN 47834-7400 Ph: (812) 448-9290 |
Dr. Miranda Anne Goodale, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 955 W Craig Ave, Brazil, IN 47834 Phone: 812-448-9290 Fax: 812-448-9296 | |
Russell Harms Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1214 E National Ave, Suite 130, Brazil, IN 47834 Phone: 812-448-9290 Fax: 812-448-9296 | |
Dr. Russell C Harms, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1214 E National Ave, Suit 130, Brazil, IN 47834 Phone: 812-448-9290 Fax: 812-448-9296 |