| Clifton Foot And Ankle Center P.c. | |
|
6101 Redwood Square Center, Suite 303, Centreville, VA 20121-4269 | |
| (703) 996-3000 | |
| (703) 229-1152 |
| Full Name | Clifton Foot And Ankle Center P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6101 Redwood Square Center, Centreville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902182660 | NPI | - | NPPES |
| 6614380001 | Other | VA | DME PTAN |
| 009302531 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103000986 (Virginia) | Primary |
| Provider Name | Kenneth R Wilhelm |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841287414 PECOS PAC ID: 2163617952 Enrollment ID: I20101105000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton Foot And Ankle Center P.c. 6101 Redwood Square Ctr, Suite 303, Centreville, VA 20121-4265 Ph: (703) 996-3000 | Clifton Foot And Ankle Center P.c. 6101 Redwood Square Center, Suite 303, Centreville, VA 20121-4269 Ph: (703) 996-3000 |
James M Hurst, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5729 Centre Square Dr, Centreville, VA 20120 Phone: 703-830-3338 Fax: 703-830-9452 | |
Dr. Kenneth R Wilhelm, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6101 Redwood Square Ctr, Suite 303, Centreville, VA 20121 Phone: 703-996-3000 Fax: 703-229-1152 |