| Donald E Mrdjenovich, DPM | |
| 2727 Beale Ave, Suite A, Altoona, PA 16601-1705 | |
| (814) 946-1075 | |
| (814) 946-4076 | 
| Full Name | Donald E Mrdjenovich | 
|---|---|
| Gender | Male | 
| Speciality | Podiatrist - Primary Podiatric Medicine | 
| Location | 2727 Beale Ave, Altoona, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487632428 | NPI | - | NPPES | 
| 0707106 | Other | PA | AETNA HMO QPOS | 
| CC2226 | Other | PA | RAILROAD MEDICARE GROUP | 
| 0016415200001 | Medicaid | PA | |
| 21139415759 | Other | PA | BEECH STREET | 
| 21139415759 | Other | PA | INTERGROUP | 
| 480019774 | Other | PA | RAILROAD MEDICARE INDIVID | 
| MR680859 | Other | PA | BLUE SHIELD IND | 
| P11111021 | Other | PA | MULTIPLAN | 
| 0016415200002 | Medicaid | PA | |
| 5082453 | Other | PA | PPNI | 
| 826758 | Other | PA | BLUE SHIELD GROUP | 
| 251775206 | Other | TAX ID FOR GROUP | |
| 000000087405 | Other | PA | UNISON | 
| 000680859 | Other | PA | KEYSTONE HEALTH PLAN | 
| 1024439 | Other | PA | GATEWAY INDIVIDUAL | 
| 206170 | Other | PA | UPMC | 
| 740952 | Other | PA | FOCUS | 
| Provider Name | Central Pa Podiatry Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1841887494 PECOS PAC ID: 0446667224 Enrollment ID: O20210323000269 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Donald E Mrdjenovich, DPM 2727 Beale Ave, Suite A, Altoona, PA 16601-1705 Ph: (814) 946-1075 | Donald E Mrdjenovich, DPM 2727 Beale Ave, Suite A, Altoona, PA 16601-1705 Ph: (814) 946-1075 | 
| Dr. Jacob Carmichael, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 914 S 12th St, Altoona, PA 16602 Phone: 814-201-2309 Fax: 814-201-2389 | |
| Dr. Matthew T Sabol, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 711 Logan Blvd, Altoona, PA 16602 Phone: 814-943-3668 Fax: 814-942-7635 | |
| Dr. Brian Lee Gates, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 521 Logan Boulevard Lakemont, Altoona, PA 16602 Phone: 814-943-9885 Fax: 814-943-5492 | |
| Adam M Budny, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fairway Dr, Altoona, PA 16602 Phone: 814-942-1166 Fax: 814-942-6222 | |
| Blair Medical Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
| Harry Penny,  Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 | |
| Blair Medical Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Altoona, PA 16602 Phone: 814-949-7621 Fax: 814-949-7616 |