Dr John M Portera, DPM is a
Podiatrist based in Greenville, Mississippi. Dr John M Portera is licensed to practice in Mississippi (license number 80037) and his current practice location is
1175 S Main St, Greenville, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 335-5872.
NPI number for Dr John M Portera is 1770695108 and his current mailing address is 1175 S Main St, Greenville, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770695108.
Healthcare Provider's Profile
| Full Name | Dr John M Portera |
|---|
| Gender | Male |
|---|
| Speciality | Podiatrist |
|---|
| Location | 1175 S Main St, Greenville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770695108
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2013
Medical Identifiers
Medical identifiers for Dr John M Portera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770695108 | NPI | - | NPPES |
| 480017850 | Other | MS | PALMETTO GBA-RR MEDICARE |
| 00111482 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 80037 (Mississippi) | Primary |
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. Dr John M Portera is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John M Portera, DPM
1175 S Main St,
Greenville, MS 38701-6337
Ph: (662) 335-5872 | Dr John M Portera, DPM
1175 S Main St,
Greenville, MS 38701-6337
Ph: (662) 335-5872 |
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