| Drs Hertz And Idol Dpm, Pa | |
|
515 Charles St, Laplata, MD 20646-1320 | |
| (301) 934-3345 | |
| Not Available |
| Full Name | Drs Hertz And Idol Dpm, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 515 Charles St, Laplata, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538178603 | NPI | - | NPPES |
| 602128000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 00403 (Maryland) | Primary |
| 335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Secondary |
| Provider Name | Judith Olkaba |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891952875 PECOS PAC ID: 6406996719 Enrollment ID: I20091217000421 |
| Provider Name | Jeffrey Idol |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689682734 PECOS PAC ID: 5193743581 Enrollment ID: I20100319000465 |
| Provider Name | Mary C Zavada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659619732 PECOS PAC ID: 8022234970 Enrollment ID: I20140729002519 |
| Provider Name | Ruth Devadas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548556186 PECOS PAC ID: 2668694159 Enrollment ID: I20141118001645 |
| Provider Name | Azuka A Olele |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992166532 PECOS PAC ID: 3678871688 Enrollment ID: I20190430000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Hertz And Idol Dpm, Pa Po Box 59714, Potomac, MD 20859-9714 Ph: (301) 934-3345 | Drs Hertz And Idol Dpm, Pa 515 Charles St, Laplata, MD 20646-1320 Ph: (301) 934-3345 |
Kristen Rose Cadieux, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16 North Laplata Court, Laplata, MD 20646 Phone: 301-392-3330 | |
Jeffrey Lee Idol, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 515 Charles Street, Laplata, MD 20646 Phone: 301-934-3345 Fax: 301-934-3345 | |
Drs. Hertz And Idol,dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 515 Charles Street, Laplata, MD 20646 Phone: 301-934-3345 |