Del Rio Foot Clinic P.a. is a medicare enrolled "Clinic/center - Multi-specialty" provider in San Antonio, Texas. Their current practice location is
94 Briggs St Ste 600, San Antonio, Texas. You can reach out to their office (for appointments etc.) via phone at
(210) 872-3668.
Del Rio Foot Clinic P.a. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Del Rio Foot Clinic P.a.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003901489.
Healthcare Provider's Profile
| Full Name | Del Rio Foot Clinic P.a. |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 94 Briggs St Ste 600, San Antonio, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003901489
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 06/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991839128
- Enrollment ID: O20100810000643
Medical Identifiers
Medical identifiers for Del Rio Foot Clinic P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003901489 | NPI | - | NPPES |
| 0043CG | Other | | BLUE CROSS BLUE SHIELD |
| CK5717 | Other | | MEDICARE RAILROAD |
| 079633601 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Del Rio Foot Clinic P.a. acts as a billing entity for following providers:
| Provider Name | Daniel G Penon |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1356328132
PECOS PAC ID: 2163448036
Enrollment ID: I20051020000065 |
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| Provider Name | Anna Elizabeth Sanchez |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1881780468
PECOS PAC ID: 6800920034
Enrollment ID: I20100810000664 |
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| Provider Name | Michael Roth |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1104911486
PECOS PAC ID: 5799819843
Enrollment ID: I20100811001093 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Del Rio Foot Clinic P.a. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Del Rio Foot Clinic P.a.
94 Briggs St Ste 600,
San Antonio, TX 78224-1272
Ph: (210) 872-3668 | Del Rio Foot Clinic P.a.
94 Briggs St Ste 600,
San Antonio, TX 78224-1272
Ph: (210) 872-3668 |
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