| Ankle And Foot Clinic Of Lakewood, Pllc | |
|
5225 Cirque Dr W, Ste 100, University Place, WA 98467-3604 | |
| (253) 474-4353 | |
| (253) 474-5850 |
| Full Name | Ankle And Foot Clinic Of Lakewood, Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 5225 Cirque Dr W, University Place, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275726291 | NPI | - | NPPES |
| GAB 18873 | Other | WA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO00000302 (Washington) | Primary |
| Provider Name | Cynthia A Fenberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215151220 PECOS PAC ID: 3274663364 Enrollment ID: I20120322000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Ankle And Foot Clinic Of Lakewood, Pllc 5225 Cirque Dr W, Ste 100, University Place, WA 98467-3604 Ph: (253) 474-4353 | Ankle And Foot Clinic Of Lakewood, Pllc 5225 Cirque Dr W, Ste 100, University Place, WA 98467-3604 Ph: (253) 474-4353 |
Mark D Nellermoe Professional Service Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-627-4181 Fax: 253-272-5922 | |
Dr. Cynthia A Fenberg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5225 Cirque Dr W, Suite 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850 | |
Dr. Mark Dale Nellermoe, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-627-4181 Fax: 253-272-5922 | |
Caleb Paul Thomas, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699 | |
Dr. Thomas Matthew Burghardt, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699 |