| Dr David Russell Kirlin I, DPM | |
|
251 Wilmot Dr, Gastonia, NC 28054-4048 | |
| (704) 861-0425 | |
| (704) 861-0274 |
| Full Name | Dr David Russell Kirlin I |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 251 Wilmot Dr, Gastonia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265427710 | NPI | - | NPPES |
| 1031002005 | Other | CIGNA | |
| 08114 | Other | BCBS | |
| 1031002 | Other | CIGNA | |
| 107026 | Other | WELLNESS | |
| 17606 | Other | WELLPATH | |
| 4406434 | Other | AETNA | |
| 561552247001 | Other | PRUDENTIAL | |
| 238687 | Other | MAMSI | |
| 662897 | Other | AETNA | |
| 10343 | Other | PARTNERS | |
| 8908114 | Medicaid | NC | |
| PDN168 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 168 (North Carolina) | Primary |
| Provider Name | Foot and Ankle Specialists of the Mid-atlantic LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073804712 PECOS PAC ID: 6305017633 Enrollment ID: O20171228000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Russell Kirlin I, DPM 251 Wilmot Dr, Gastonia, NC 28054-4048 Ph: (704) 861-0425 | Dr David Russell Kirlin I, DPM 251 Wilmot Dr, Gastonia, NC 28054-4048 Ph: (704) 861-0425 |
Mr. John Kersey Throckmorton, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 111 E 3rd Ave, Gastonia, NC 28052 Phone: 704-874-3300 Fax: 704-874-0065 |
Melanie Eubanks, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1421a E Franklin Blvd, Gastonia, NC 28054 Phone: 704-674-9272 |
Mr. Robert Christopher Olson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2345 Court Drive, Gastonia, NC 28054 Phone: 704-865-0077 Fax: 704-867-6401 |
Revonda Lashawn Jessup, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2721 X Ray Dr, Gastonia, NC 28054 Phone: 704-874-2255 |
Dr. Wagner Gilbert Santiago, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 Fax: 704-861-0274 |
Dr. Randall J Contento, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 |
Caromont Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2391 Court Dr Ste 100, Gastonia, NC 28054 Phone: 980-834-7300 Fax: 980-834-9874 |