| Connecticut Foot Specialists, P.c. | |
|
11 South Rd Lowr Level20, Farmington, CT 06032-2483 | |
| (860) 470-5703 | |
| (860) 909-0506 |
| Full Name | Connecticut Foot Specialists, P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 11 South Rd Lowr Level20, Farmington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487684346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 000144 (Connecticut) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Brian Keith Wagner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093743502 PECOS PAC ID: 2860467529 Enrollment ID: I20040827000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Foot Specialists, P.c. 11 South Rd, Lower Level 20, Farmington, CT 06032-2483 Ph: (860) 470-5703 | Connecticut Foot Specialists, P.c. 11 South Rd Lowr Level20, Farmington, CT 06032-2483 Ph: (860) 470-5703 |
Dr. Larry Alan Suecof, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5 Exeter Park, Farmington, CT 06032 Phone: 407-417-7478 | |
Dr. Brian Keith Wagner, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11 South Rd Lowr Level20, Farmington, CT 06032 Phone: 860-470-5703 Fax: 860-606-8025 | |
Douglas A Albreski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4600 Fax: 860-679-1248 | |
Dr. Jeffrey M. Tencer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1055 Farmington Ave, Farmington, CT 06032 Phone: 860-409-0871 Fax: 860-673-1929 | |
Dr. Scott William Lindsay, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1055 Farmington Ave, Farmington, CT 06032 Phone: 860-677-7272 Fax: 860-677-4017 | |
Dr. Mohammad Ali Akbari Fatidehi, MD Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3467 |