Eastern Podiatry Pllc is a
Podiatrist based in Superior, Wisconsin. Eastern Podiatry Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1800 New York Ave, Superior, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(718) 972-5000.
NPI number for Eastern Podiatry Pllc is 1215487277 and their current mailing address is 2802 Avenue P, Brooklyn, New York. Eastern Podiatry Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1215487277.
Healthcare Provider's Profile
| Full Name | Eastern Podiatry Pllc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 1800 New York Ave, Superior, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215487277
- Provider Enumeration Date: 10/13/2016
- Last Update Date: 10/13/2016
Medical Identifiers
Medical identifiers for Eastern Podiatry Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215487277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | 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. Eastern Podiatry Pllc 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 |
|---|
Eastern Podiatry Pllc
2802 Avenue P,
Brooklyn, NY 11229-1810
Ph: (718) 972-5000 | Eastern Podiatry Pllc
1800 New York Ave,
Superior, WI 54880-2008
Ph: (718) 972-5000 |
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