| Dr Russell Pendleton, DPM | |
|
6312 Azle Ave, Lake Worth, TX 76135-2442 | |
| (817) 238-8400 | |
| (817) 238-8401 |
| Full Name | Dr Russell Pendleton |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 19 Years |
| Location | 6312 Azle Ave, Lake Worth, Texas |
| 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 |
|---|---|---|---|
| 1932356789 | NPI | - | NPPES |
| 214330702 | Medicaid | TX | |
| 214330704 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1916 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Harris Methodist Hospital Azle | Azle, TX | Hospital |
| Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Foot And Ankle Associates Pllc | 7113050758 | 2 |
| Provider Name | Advanced Foot And Ankle Associates Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568783553 PECOS PAC ID: 7113050758 Enrollment ID: O20100803000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Pendleton, DPM 6312 Azle Ave, Lake Worth, TX 76135-2442 Ph: (817) 238-8400 | Dr Russell Pendleton, DPM 6312 Azle Ave, Lake Worth, TX 76135-2442 Ph: (817) 238-8400 |
Advanced Foot And Ankle Associates Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 6312 Azle Ave, Lake Worth, TX 76135 Phone: 817-238-8400 Fax: 817-238-8401 | |
Mark Thompson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6312 Azle Ave, Lake Worth, TX 76135 Phone: 817-238-8400 Fax: 817-238-8401 |