Dr John M Portera, DPM is a medicare enrolled "Podiatrist" provider in Greenville, Mississippi. His current practice location is
1175 S Main St, Greenville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 335-5872.
Dr John M Portera is licensed to practice in Mississippi (license number 80037) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770695108.
Healthcare Provider's Profile
Full Name | Dr John M Portera |
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Gender | Male |
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Speciality | Podiatrist |
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Location | 1175 S Main St, Greenville, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770695108
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 8224148515
- Enrollment ID: I20131018001501
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
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 |
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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