| Dr Phong Le, DPM | |
|
8220 Wymark Dr, Elk Grove, CA 95757-6297 | |
| (916) 667-0600 | |
| Not Available |
| Full Name | Dr Phong Le |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 18 Years |
| Location | 8220 Wymark Dr, Elk Grove, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316191166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1222 (Massachusetts) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 4947 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospital Of Sacramento | Sacramento, CA | Hospital |
| Mercy General Hospital | Sacramento, CA | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern California Orthopaedic Associates Corp | 6305061482 | 4 |
| Provider Name | Northern California Orthopaedic Associates Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942610795 PECOS PAC ID: 6305061482 Enrollment ID: O20140703000647 |
| Provider Name | Jeffrey Demian Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306339759 PECOS PAC ID: 4880944339 Enrollment ID: O20180905001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phong Le, DPM 8220 Wymark Dr Ste 200, Elk Grove, CA 95757-6298 Ph: (916) 667-0600 | Dr Phong Le, DPM 8220 Wymark Dr, Elk Grove, CA 95757-6297 Ph: (916) 667-0600 |
Regents Of The University Of Ca. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8110 Laguna Blvd, Elk Grove, CA 95758 Phone: 916-683-3955 Fax: 916-736-1419 | |
Elk Grove Foot And Ankle Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 5501 Castleford Way, Elk Grove, CA 95758 Phone: 505-980-9611 | |
Dai Trang Tunguyen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd, #105, Elk Grove, CA 95758 Phone: 916-691-5945 Fax: 916-691-5946 | |
Dr. Tara L Harrington, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Dr Ste 200, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-663-0232 |